SearchMichigan163WP0200X

Tracy Dejonge

NPI 1487569000 · on the registry since 2026 · sole proprietor

Practice

Address
671 N Evergreen St
Plymouth, MI 48170
Phone
(908) 217-9516

Registry record

Primary taxonomy
163WP0200X
163WP0200X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-18

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