Individual
TRACEY MASZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-4059
Mailing address
412 BIG BEND WAY, HARTFORD, WI 53027-8664
(920) 396-0419
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
177788
WI
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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