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1003009010
TRACY BLAIR WANDTKE HERRMANN
MILWAUKEE, WI
NPI
1003009010
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Former Name
TRACY BLAIR WANDTKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: WI 148811-032)
Enumeration Date
2007-08-22
Last Update Date
2017-04-05
Business Address
-- TRACY BLAIR WANDTKE HERRMANN CNM
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204-2203
Phone number: 414-672-1353
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Mailing Address
-- TRACY BLAIR WANDTKE HERRMANN CNM
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204-2203
Phone number: 414-672-1353
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