Tracy A Park, MD Valid NPI
Individual provider · Physical Medicine & Rehabilitation Physician · Milwaukee, WI
- NPI
- 1194712455
- Type
- Individual (Type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician (Physical Medicine & Rehabilitation)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208100000X
- License number
- 30606 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-10-03
- Last updated
- 2023-01-26
Practice location
4111 W Mitchell St, Ste 300
Milwaukee, WI 53215-1748
(414) 385-8800