Individual
MRS. TRACEY MARIE MICHELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3133 S. TELEGRAPH, DEARBORN FAMILY CLINIC, DEARBORN, MI 48124
(313) 565-6566
(313) 561-5554
Mailing address
3133 S. TELEGRAPH, DEARBORN FAMILY CLINIC, DEARBORN, MI 48124
(313) 565-6566
(313) 561-5554
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704220181
MI
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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