TRACY WALLACE
Registered Nurse - Administrator
Active
Individual
NPI: 1326481755
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - Administrator | 163WA2000X | Yes | 4704197701 (MI) |
Frequently Asked Questions
NPI 1326481755 is the National Provider Identifier for TRACY WALLACE, a Registered Nurse - Administrator provider located in Detroit, MI. This NPI was enumerated on April 16, 2013.
TRACY WALLACE practices at 15400 W MCNICHOLS RD, Detroit, MI 48235.
Quick Facts
- NPI
- 1326481755
- Type
- Individual
- Enumerated
- Apr 16, 2013
- Last Updated
- Apr 16, 2013
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