Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301081330 | MI |
N | 111NI0900X | Internist | 4301081330 | MI |
Y | 207RH0002X | Hospice and Palliative Medicine | 4301081330 | MI |
NPI | 1003927898 |
---|---|
Provider Name | Michael Trexler |
First Address | Kalamazoo, MI 49009-3016 |
Second Address | Kalamazoo, MI 49048-1640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 24/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H82687 | (02) |