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Search › Michigan › 163WA2000X

Tracy Wallace

NPI 1326481755 · on the registry since 2013

Practice

Address
15400 W Mcnichols Rd
Detroit, MI 48235
Phone
(313) 732-8272
Organisation at this address
Advantage Health Centers
Detroit Health Care For The Homeless
Detroit Health Care For The Homeless
Detroit Health Care For The Homeless
Detroit Health Care For The Homeless
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
163WA2000X
163WA2000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan