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Individual

MICHAEL TRENKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
158900-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
5330
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100030435
WI
Enumeration date
05/08/2013
Last updated
12/20/2023
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