Organization
UNIVERSITY OF DETROIT MERCY
Active
Parent organization
UNIVERSITY OF DETROIT MERCY
Other names
McAuley Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF DETROIT MERCY
Authorized official
MRS. TRACEY ELIZABETH CHAN APRN-BC (CLINIC COORDINATOR / NP)
(313) 579-1182
Entity
Organization
Contact information
Practice address
5555 CONNER ST, STE 2691, DETROIT, MI 48213-3448
(313) 579-1182
(313) 579-5128
Mailing address
5555 CONNER ST, STE 2691, DETROIT, MI 48213-3448
(313) 579-1182
(313) 579-5128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
MI
Other
Enumeration date
11/06/2006
Last updated
05/18/2011
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