Individual
MRS. TRACY MICHELLE BUETOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP-BC
Contact information
Practice address
1500 E MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP B, ANN ARBOR, MI 48109-5344
(734) 936-8857
(734) 615-2656
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704236426
MI
Other
Enumeration date
09/26/2013
Last updated
11/01/2013
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