Individual
TRACY MELVILLE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 998-2020
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704210593
MI
Other
Enumeration date
06/21/2012
Last updated
08/02/2022
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