Tracy P Milbrandt, M.D.
Pediatrics in Springfield, IL. Individual provider (NPI-1).
NPI number1063494516
StatusActive
Last updated in NPPESNov 4, 2020
Details
- NPI
- 1063494516
- Entity type
- Individual (NPI-1)
- Name
- Tracy P Milbrandt
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2005
- Certification date
- Nov 4, 2020
- Last updated
- Nov 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036-107246 | IL | Yes |
Practice location
301 N 8th StSpringfield, IL 62701-1041
Phone 217-545-4238 · Fax 217-545-2303
Mailing address
Po Box 19658Springfield, IL 62794-9658
Phone 217-545-4238 · Fax 217-545-2303
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