Individual
MRS. TRACCI SALERNO MCEVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., PA-C
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
3122 INMAN ST, FERNDALE, MI 48220-1029
(248) 632-1373
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
986495
MI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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