MEDICARE: TRACY N ZEMBLES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0200X	Pediatric Pharmacist	13698-040	WI

General Provider Information

NPI Number	:	1588516405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY N ZEMBLES

Provider Business Mailing Address
First Line	:	W175N5227 HIGHRIDGE DR
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-7871
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9000 W WISCONSIN AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-4874
Country	:	US
Telephone Number	:	262-232-9572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ TRACY N ZEMBLES ” Practice Location

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