Dr. Tracy Lynn Bretl
Neuromusculoskeletal Medicine (NMM)
6793 N Green Bay Ave
Glendale
, Wisconsin 53209-3422
Dr. Tracy Lynn Bretl
Neuromusculoskeletal Medicine (NMM)
6793 N Green Bay Ave
Glendale
, Wisconsin 53209-3422
(414) 351-0678
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Tracy Lynn Bretl
- 6793 N Green Bay Ave
- Glendale, WI
- Zip : 53209-3422
- Fax : (414) 351-0678
- Phone : (414) 351-1844
Second Address
- Dr. Tracy Lynn Bretl
- 6793 N Green Bay Ave
- Glendale, WI
- Zip : 53209-3422
- Fax : (414) 351-0678
- Phone : (414) 351-1844
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 31707-021 | WI |
National Provider Identifier
| NPI | 1447206388 |
|---|---|
| Provider Name | Dr. Tracy Lynn Bretl |
| First Address | Glendale, WI 53209-3422 |
| Second Address | Glendale, WI 53209-3422 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 15/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30055700 | (05) | WI |
| F32099 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.