Bretl, Tracy Lynn

Bretl, Tracy Lynn is an individual health care provider with primary practice located at 6793 N Green Bay Ave , Glendale WI 53209-3422. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. Bretl, Tracy Lynn can be contacted via phone (414) 351-1844.

Contact Information

Primary practice address
6793 N Green Bay Ave Glendale WI 53209-3422
Phone: (414) 351-1844
Fax: (414) 351-0678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 31707-021 Wisconsin

Profile Details

NPI number 1447206388
LBN Legal business name Bretl, Tracy Lynn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 15th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447206388 NPPES
Wisconsin MEDICAID 30055700

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