Gay D Trepanier in Fond Du Lac - Geriatric Medicine
Gay D Trepanier - NPI 1164415709
Gay D Trepanier is a Geriatric Medicine in Fond Du Lac, Wisconsin. Gay D Trepanier practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Gay D Trepanier is 1164415709. The last update date is 2007-07-08.
Gay D Trepanier's current location address is 481 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209298120 and fax number 9209298126. The mailing address for Gay D Trepanier is 481 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gay D Trepanier |
|---|---|
| Address | 481 E Division St, Fond Du Lac, Wisconsin |
| Phone Number | 9209298120 |
| Fax Number | 9209298126 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164415709 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 481 E Division St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549353748 |
| Phone Number | 9209298120 |
| Fax Number | 9209298126 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 16852 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31081800 | WI | -- |
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What is the unique identification code assigned to Gay D Trepanier by the Centers for Medicare & Medicaid Services?
The Gay D Trepanier has been issued the NPI (National Provider Identifier) 1164415709. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gay D Trepanier?
The Gay D Trepanier is situated at 481 E Division St, in the city of Fond Du Lac, state of WI, with the zip code 549353748.
What is the Gay D Trepanier's specialty and taxonomy code?
The Gay D Trepanier's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164415709 to Gay D Trepanier?
The Gay D Trepanier received its 1164415709 assignment from the Centers for Medicare & Medicaid Services on 2005-08-30.
As of what date were the Gay D Trepanier's details last updated?
The information pertaining to the Gay D Trepanier, including its address, specialty, and other details, was most recently updated on 2007-07-08.