Dunek, Tracie M

Dunek, Tracie M is an individual health care provider with primary practice located at 12800 N Port Washington Rd , Mequon WI 53097-2415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dunek, Tracie M can be contacted via phone (262) 243-9600.

Contact Information

Primary practice address
12800 N Port Washington Rd Mequon WI 53097-2415
Fax: (262) 243-9661
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49861021 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49861 Wisconsin

Profile Details

NPI number 1740469741
LBN Legal business name Dunek, Tracie M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Mar 7th, 2023 - about 2 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 1740469741 NPPES
Wisconsin MEDICAID 37578800

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