Individual
TRACY KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6071 W OUTER DR, SGH EMERGENCY DEPT, DETROIT, MI 48235-2624
(313) 966-1090
Mailing address
16500 N PARK DR, APT #418, SOUTHFIELD, MI 48075-4735
(301) 646-7747
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301101347
MI
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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