Individual
MR. TRACY YEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 243-7340
Mailing address
1474 WOODSIDE ST, MONROE, MI 48161-1755
(734) 693-2457
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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