Whalio Doctors

NPI 1750328605

Tracy Bretl, D.O., S.C.

Organisation Neuromusculoskeletal Medicine & OMM Physician Glendale, WI

Practice location

Address
250 W Coventry CT, Glendale, WI 53217-3972
Phone
(414) 351-8444
Fax
(414) 351-0678
Mailing address
250 W Coventry CT, Glendale, WI 53217-3966

Authorised official

Name
Tracy Lynn Bretl
Title
President
Phone
(414) 351-1844

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 31707 (WI)

Registry record

NPI
1750328605
Entity type
Organization
NPI issued
1 Jun 2006
Record last updated
30 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.