TRACY ANN THREAT

DETROIT, MI
NPI1891951711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704223743)
Enumeration Date2008-07-30
Last Update Date2021-11-18
Business Address
TRACY ANN THREAT FNP-BC
5555 CONNER ST SUITE 2691
DETROIT, MI 48213-3448
Phone number: 313-579-1182
Mailing Address
TRACY ANN THREAT FNP-BC
5555 CONNER ST STE 2691
DETROIT, MI 48213-3812
Phone number: 313-692-8400
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