Doctor profile · Federal record
Dr. Tracey Chan, NP
Nurse Practitioner · Detroit, MI
- NPI 1710091376
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5555 Conner St, Ste 2691
Detroit, MI 482133448
(313) 579-1182
fax (313) 579-5128
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- May 10, 2011
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Michigan #4704220570
- Medicaid
- MI #4956148
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710091376. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$112
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $112.00 |
By nature of payment
Frequently asked questions
What is Dr. Tracey Chan's medical specialty?
Dr. Tracey Chan practices Nurse Practitioner in Detroit, MI.
Where does Dr. Tracey Chan practice?
Dr. Tracey Chan practices at 5555 Conner St, Detroit, MI 482133448. Office phone: 3135791182.
What is Dr. Tracey Chan's NPI?
Dr. Tracey Chan's National Provider Identifier (NPI) is 1710091376, issued by NPPES.