Traci Renae Fritz in Wauwatosa - General Practice
Traci Renae Fritz - NPI 1104090265
Traci Renae Fritz is a General Practice in Wauwatosa, Wisconsin. Traci Renae Fritz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Traci Renae Fritz is 1104090265. The last update date is 2019-02-11.
Traci Renae Fritz's current location address is 6100 W State St Apt 404, Wauwatosa, Wisconsin. You can contact this provider via phone number 2544859570 and fax number 4144757706. The mailing address for Traci Renae Fritz is 6100 W State St Apt 404, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Renae Fritz |
|---|---|
| Address | 6100 W State St Apt 404, Wauwatosa, Wisconsin |
| Phone Number | 2544859570 |
| Fax Number | 4144757706 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104090265 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2019-02-11 |
Provider Mailing Address Detail
| Address | 6100 W State St Apt 404 |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532132994 |
| Phone Number | 2544859570 |
| Fax Number | 4144757706 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 64874 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1104090265 | WI | -- | |
| 1508830076 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Traci Renae Fritz?
The Traci Renae Fritz has been issued the NPI (National Provider Identifier) 1104090265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Traci Renae Fritz is located?
The Traci Renae Fritz is situated at the following address: 6100 W State St Apt 404, Wauwatosa, WI, 532132994.
What is the Traci Renae Fritz's area of specialization and corresponding taxonomy classification?
The Traci Renae Fritz's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1104090265 to Traci Renae Fritz?
The Centers for Medicare & Medicaid Services assigned the 1104090265 to Traci Renae Fritz on 2008-04-18.
As of what date were the Traci Renae Fritz's details last updated?
The information pertaining to the Traci Renae Fritz, including its address, specialty, and other details, was most recently updated on 2019-02-11.