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Deirdre Tara Tracey
Family Nurse Practitioner in Clawson, Michigan
NPI 1659918258

Deirdre Tara Tracey is a Family Nurse Practitioner based in Clawson, MI and is specialized in Family. Deirdre Tara Tracey practices in Clawson, MI. The NPI Number for Deirdre Tara Tracey is 1659918258 and holds a License No. 4704303811 (Michigan).

The current practice location address for Deirdre Tara Tracey is 555 W 14 Mile Rd Ste 100, Clawson, MI and can be reached out via phone at 248-655-1400.

Location: 555 W 14 Mile Rd Ste 100, Clawson, MI, 48017-3100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659918258
Provider Name
Deirdre Tara Tracey
Credential
Provider Entity Type
Individual
Gender
Female
Address
555 W 14 Mile Rd Ste 100, Clawson, MI, 48017-3100
Phone Number
248-655-1400
Fax Number
Provider Enumeration Date
12/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
555 W 14 Mile Rd Ste 100
City
Clawson
State
Michigan
Zip
48017-3100
Phone Number
248-655-1400
Fax Number
person
Provider Business Mailing Address Details
Address
555 W 14 Mile Rd Ste 100
City
Clawson
State
Michigan
Zip
48017-3100
Phone Number
248-655-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704303811 (Michigan)
Definition
Definition to come...
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