TRACY BLAIR WANDTKE HERRMANN

MILWAUKEE, WI
NPI1003009010
Former NameTRACY BLAIR WANDTKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: WI  148811-032)
Enumeration Date2007-08-22
Last Update Date2017-04-05
Business Address
-- TRACY BLAIR WANDTKE HERRMANN CNM
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204-2203
Phone number: 414-672-1353
Mailing Address
-- TRACY BLAIR WANDTKE HERRMANN CNM
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204-2203
Phone number: 414-672-1353