TRACI J VAN GORDEN

STURGIS, MI
NPI1679513451
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704252117)
Enumeration Date2006-06-08
Last Update Date2020-11-05
Business Address
TRACI J VAN GORDEN CFNP
104 S LAKEVIEW AVE
STURGIS, MI 49091-1947
Phone number: 269-319-8850
Mailing Address
TRACI J VAN GORDEN CFNP
104 S LAKEVIEW AVE
STURGIS, MI 49091-1947
Phone number: 269-319-8850