Daniel J Triezenberg, MD
Family Medicine in Mishawaka, IN. Individual provider (NPI-1).
NPI number1124100698
StatusActive
Last updated in NPPESSep 28, 2016
Details
- NPI
- 1124100698
- Entity type
- Individual (NPI-1)
- Name
- Daniel J Triezenberg
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2006
- Last updated
- Sep 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 01050823 | IN | Yes |
Practice location
420 W 4th StMishawaka, IN 46544-1948
Phone 219-462-7173 · Fax 574-307-7692
Mailing address
420 W 4th StMishawaka, IN 46544-1948
Phone 574-307-7673 · Fax 574-307-7692
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All 68 Family Medicine Physician providers in Mishawaka · All 1,883 providers in Mishawaka
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