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Individual
STEVEN NEAL TRIESENBERG
Active
Individual
STEVEN NEAL TRIESENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301407220
MI
207RI0200X
Infectious Disease Physician
4301407220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110D148350 / 0415028
BCBSM
MI
05
—
4900278
—
MI
Enumeration date
11/10/2005
Last updated
04/25/2018
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