# UNIVERSITY OF DETROIT MERCY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF DETROIT MERCY
- **Other names:** McAuley Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760561062
- **Legal business name:** UNIVERSITY OF DETROIT MERCY
- **Authorized official:** MRS. TRACEY ELIZABETH CHAN APRN-BC (CLINIC COORDINATOR / NP)
- **Authorized official phone:** (313) 579-1182

## Contact information

- **Practice address:** 5555 CONNER ST, STE 2691, DETROIT, MI 48213-3448
- **Practice address phone:** (313) 579-1182
- **Practice address fax:** (313) 579-5128
- **Mailing address:** 5555 CONNER ST, STE 2691, DETROIT, MI 48213-3448
- **Mailing address phone:** (313) 579-1182
- **Mailing address fax:** (313) 579-5128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | MI | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 05/18/2011