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PRACHTHAUSER, TRACY BETH       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: GUNDERSEN LUTHERAN MEDICAL CENTER
1900 SOUTH AVE
LA CROSSE WI 54601

Address last updated on 6/30/2009
Phone #: (608) 784-2409
Fax #:
County: NOT OKLAHOMA
License: 25868
Dated: 7/3/2007
Expires: 7/1/2010
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduated: 5 / 2006
CME Year: 2010
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
GUNDERSEN LUTHERAN MEDICAL CENTER
1900 SOUTH AVE
LA CROSSE WI 54601

Phone #: (608) 784-2409
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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