Most Relevant Information
Provider Data
| NPI Number: | 1003379488 |
| Provider Name: | TRACI DEANNA PAWLITSCHEK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 390200000X |
Most Important Dates
| Enumeration Date: | 04/11/2019 |
| Last Updated: | 06/18/2020 |
Provider Practice Location
600 HIGHLAND AVE
MADISON
WI
537923025
Practice Location Phone/Fax
| Phone: | 6082636400 |
| Fax: |
Provider Mailing Location
2119 REGENT ST
MADISON
WI
537263941
Provider Mailing Phone/Fax
| Phone: | 4252316882 |
| Fax: |