TRACEY E CHAN

DETROIT, MI
NPI1710091376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704220570)
Enumeration Date2006-08-19
Last Update Date2011-05-10
Business Address
-- TRACEY E CHAN NP
5555 CONNER ST STE 2691
DETROIT, MI 48213-3448
Phone number: 313-579-1182
Mailing Address
-- TRACEY E CHAN NP
5555 CONNER ST STE 2691
DETROIT, MI 48213-3448
Phone number: 313-579-1182
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