| Doctor Name: | DR. TRACI RENAE FRITZ |
| NPI Number: | 1104090265 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 64874 |
| Business Practice Address: | 19115 W Capitol Dr Ste 117 Brookfield, WI - 530452754 |
| Business Phone Number: | 2627810240 |
| Business Fax Number: | 2623730148 |
| Mailing Address: | Po Box 639, THIENSVILLE |
| State: | WI |
| Postal Code: | 530920639 |
| Phone Number: | 4142479005 |
| Fax Number: | 4142479004 |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 04/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 64874 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |