Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036150934 | IL |
Y | 207X00000X | Orthopaedic Surgeon | DO1686 | TN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | DO1686 | TN |
N | 207XX0801X | Orthopaedic Trauma Surgeon | DO0000001686 | TN |
NPI | 1003903121 |
---|---|
Provider Name | Marc Tressler |
First Address | Nashville, TN 37217-2626 |
Second Address | Hendersonville, TN 37075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 11/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4269049 | BCBS (01) | TN |
I31802 | (02) |