Liljestrom, Tracey Harrop

Liljestrom, Tracey Harrop is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Liljestrom, Tracey Harrop can be contacted via phone (414) 337-7050.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 337-7050
Fax: (414) 337-7020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67663 Wisconsin
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 67663 Wisconsin

Profile Details

NPI number 1962768036
LBN Legal business name Liljestrom, Tracey Harrop
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2012
Last updated Apr 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962768036 NPPES
Wisconsin MEDICAID 1962768036

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