Individual
KARISSA LEAH TRYSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1675 LEAHY ST, SUITE 428, MUSKEGON, MI 49442-5500
(231) 672-3300
(231) 672-3380
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 727-4451
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101015747
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5204157
—
MI
01
—
700F110460
BLUE CROSS BLUE SHIELD
MI
01
—
KT015747
BLUE CARE NETWORK
MI
Enumeration date
04/23/2007
Last updated
08/10/2012
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