Tracey L Fuller

NPI #1770397184 in Green Bay, Wisconsin

Provider Information

NPI Number
1770397184
Entity Type
Individual
Name
Tracey L Fuller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Feb 5, 2025
Last Updated
Feb 5, 2025

Practice Location

Address
1255 S MONROE AVE STE 102
ZIP Code
54301-3054
Phone
(920) 246-9710

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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