Individual
DR. TRACEY LYNNE VENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 S CANTON CENTER RD, CANTON, MI 48188-1992
(734) 844-8743
(734) 844-8744
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301084094
MI
Other
Enumeration date
03/05/2007
Last updated
09/04/2020
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