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Tracy Anagli, OD

Optometrist in Detroit, MI. Individual provider (NPI-1).

NPI number1831887835
StatusActive
Last updated in NPPESApr 27, 2023

Details

NPI
1831887835
Entity type
Individual (NPI-1)
Name
Tracy Anagli
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 27, 2023
Certification date
Apr 27, 2023
Last updated
Apr 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4901005664MIYes

Practice location

21427 Grand River Ave Ste A-200
Detroit, MI 48219-3896

Phone 313-676-4020 · Fax 313-447-3278

Mailing address

118 Cass Ave
Mount Clemens, MI 48043-2204

Phone 586-464-1479

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