Individual
DR. TRACI L STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201
(313) 576-3663
Mailing address
702 N HARVEY ST, PLYMOUTH, MI 48170-1268
(248) 202-7070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704248292
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704248292
MI
Other
Enumeration date
09/24/2010
Last updated
05/22/2018
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