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Tracey Gross, RN

Registered Nurse, Case Management in Detroit, MI. Individual provider (NPI-1).

NPI number1013345271
StatusActive
Last updated in NPPESOct 25, 2013

Details

NPI
1013345271
Entity type
Individual (NPI-1)
Name
Tracey Gross
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 25, 2013
Last updated
Oct 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WC0400X Registered Nurse, Case Management4704192538MIYes

Practice location

20244 Woodingham Dr
Detroit, MI 48221-5200

Phone 313-205-0421

Mailing address

20244 Woodingham Dr
Detroit, MI 48221-5200

Phone 313-205-0421

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