Individual
TRACY HAYSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 775-3463
Mailing address
105 HALL ST UNIT A, TRAVERSE CITY, MI 49684-2288
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704307742
MI
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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