Individual
TRACY MCINTYRE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9159
(269) 429-8010
(269) 408-0986
Mailing address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9159
(269) 429-8010
(269) 408-0986
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704194431
MI
Other
Enumeration date
06/13/2008
Last updated
03/19/2014
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