Individual
TRACI A. PURATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
565 MILWAUKEE AVE, SUITE 2-C, BURLINGTON, WI 53105-1254
(262) 694-5000
(262) 661-4606
Mailing address
5244 ZACHARY DR, MOUNT PLEASANT, WI 53403-9795
(262) 694-5000
(262) 661-4606
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
40525-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34234000
—
WI
Enumeration date
07/23/2006
Last updated
08/13/2014
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