Dr. Tracy A. Park MD
Physical Medicine & Rehabilitation Physician in Milwaukee, WI(View on Map)
Full Name
Dr. Tracy A Park MD
NPI Number
1194712455
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/03/2005
Specialties
(Taxonomies)Name
Code
208100000X
2081N0008X
Primary Taxonomy
Yes
No
Licenses
State
Wisconsin
Wisconsin
License Number
30606
30606-020
Contact
Information
Purpose
Mailing
Location
Address
4111 W MITCHELL ST
4111 W MITCHELL ST
City
Milwaukee
Milwaukee
State
WI
WI
Postal Code
53215-1748
53215-1748
Country
US
US
Telephone Number
(414) 385-8800
(414) 385-8800
Identifiers
Identifier
31539700
Identifier State
WI
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
FHIR
Endpoint
tpark23228@direct.myadvocateaurora.org
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint Description
Unknown
Unknown
Use
Direct
Unknown
Content Type
Unknown
Unknown
Affiliation
N
N
Endpoint Location
4111 W Mitchell StSte 300Milwaukee, WI532151748US
4111 W Mitchell StSte 300Milwaukee, WI532151748US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/26/2023
Provider Address
Other Physical Medicine & Rehabilitation Physicians in Milwaukee, Wisconsin:
Sridhar Vallabhaneni M.D.
Milwaukee, WISpecialty: Physical Medicine & Rehabilitation Physician (Primary)
Christopher Cronsell MD
Milwaukee, WISpecialty: Physical Medicine & Rehabilitation Physician (Primary)
Narayana Rao Parasu M.D.
Milwaukee, WISpecialty: Physical Medicine & Rehabilitation Physician (Primary)
Peter Gikas MD, M.DIV.
Milwaukee, WISpecialty: Physical Medicine & Rehabilitation Physician (Primary)