| Tracy Wallace, | |
|
15400 W Mcnichols Rd, Detroit, MI 48235-3724 | |
| (313) 732-8272 | |
| Not Available |
| Full Name | Tracy Wallace |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Administrator |
| Location | 15400 W Mcnichols Rd, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326481755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WA2000X | Registered Nurse - Administrator | 4704197701 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Wallace, 4779 Glendale, Detroit, MI 48238 Ph: () - | Tracy Wallace, 15400 W Mcnichols Rd, Detroit, MI 48235-3724 Ph: (313) 732-8272 |
Marcia M Wicker, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2925 Russell St, Detroit, MI 48207 Phone: 313-396-5300 | |
Jaina Sabu Samuel, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Tawana Danielle Williams, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 866 Blaine St, Detroit, MI 48202 Phone: 313-207-6928 | |
Navitha Lonappan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000 | |
Shari Kabeth, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1000 | |
Derek Curtis Thamarus, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1294 | |
Molly George, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4646 John R St, Detroit, MI 48201 Phone: 313-576-1316 |