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Traci Deanna Pawlitschek, MD

Dermatology in Madison, WI. Individual provider (NPI-1).

NPI number1003379488
StatusActive
Last updated in NPPESJun 18, 2020

Details

NPI
1003379488
Entity type
Individual (NPI-1)
Name
Traci Deanna Pawlitschek
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 11, 2019
Certification date
Jun 18, 2020
Last updated
Jun 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology8225-851WIYes
390200000X Student in an Organized Health Care Education/Training Program390200000XOR

Practice location

600 Highland Ave
Madison, WI 53792-3025

Phone 608-263-6400

Mailing address

2119 Regent St
Madison, WI 53726-3941

Phone 425-231-6882

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