Individual
JEFFREY REID TRIMARK
Active
Individual
JEFFREY REID TRIMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036157173
IL
207R00000X
Internal Medicine Physician
34584
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080149502
MEDICARE RR
WI
05
—
32502400
—
WI
Enumeration date
05/26/2006
Last updated
07/29/2021
Update your record
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