Tracey L Fuller
Tracey L Fuller is a Prosthetic/Orthotic Supplier in Green Bay, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1255 S Monroe Ave Ste 102Green Bay, WI 54301-3054
Phone: (920) 246-9710
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1770397184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 5, 2025 |
| Last updated in NPPES | February 5, 2025 |
| Certification date | February 5, 2025 |
| Mailing address | 1255 S Monroe Ave Ste 102, Green Bay, WI 54301-3054 |
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