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Individual

DR. TRENT DOUGLAS STERENCHOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101056269
VA
208800000X
Urology Physician
Primary
061968
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
705543780A
GA
05
705543780B
GA
05
705543780D
GA
Enumeration date
12/04/2006
Last updated
02/02/2024
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