Tracie Vanhoeck PA

NPI 1902080682 - Physician Assistant - 363A00000X

NPI Details
NPI 1902080682
Gender Female
Enumeration Date 12/18/2007
Last Updated 11/05/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
3901 BEAUBIEN ST
2ND FLOOR NEUROSURGERY CLINIC
DETROIT MI, 48201-2119, US
Phone (313) 993-4490
Fax (313) 745-7222
Business Location
3901 BEAUBIEN ST
2ND FLOOR
DETROIT MI, 48201-2119, US
Phone (313) 993-4490
Fax (313) 745-7222
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601005115
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According to our database, Tracie Vanhoeck PA NPI is 1902080682, taxonomy code is 363A00000X and license number is 5601005115, license state is located at Michigan. Tracie Vanhoeck PA physically located at 3901 Beaubien St, Detroit MI, 48201-2119. NPI Number Tracie Vanhoeck PA has the Individual type.

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1902080682 NPI number is provided on an as is basis without warranty of any kind. 1902080682 is maintained by the National Plan & Provider Enumeration System. The contents of Tracie Vanhoeck PA are for informational purposes only.