Individual
TRACEY GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20244 WOODINGHAM DR, DETROIT, MI 48221-5200
(313) 205-0421
Mailing address
20244 WOODINGHAM DR, DETROIT, MI 48221-5200
(313) 205-0421
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704192538
MI
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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