Organization
FOWLERVILLE MEDICAL CENTER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORINE M TRACY M.D. (OWNER)
(517) 223-7900
Entity
Organization
Contact information
Practice address
202 E VAN RIPER RD, SUITE 100, FOWLERVILLE, MI 48836-7947
(517) 223-7900
(517) 223-7635
Mailing address
202 E VAN RIPER RD, SUITE 100, FOWLERVILLE, MI 48836-7947
(517) 223-7900
(517) 223-7635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301060017
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477259
—
MI
Enumeration date
10/18/2006
Last updated
01/31/2022
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