Tracy Wallace
Tracy Wallace is an Administrator Registered Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2013.
- Licensed in
- MI
- In the registry since
- 2013
Practice location Address checks out
15400 W McNichols RdDetroit, MI 48235-3724 Not confirmed with CMS for 13 years — call before visiting
Phone: (313) 732-8272
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Administrator Registered Nurse (primary) | Taxonomy 163WA2000X · Licence 4704197701 (MI) |
|---|
Record details
| NPI number | 1326481755 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 16, 2013 |
| Last updated in NPPES | April 16, 2013 |
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