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Individual

MR. STEVEN MICHAEL TREBIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
17274 STATE HIGHWAY 371, BRAINERD, MN 56401-6818
(218) 825-7349
(218) 828-1037
Mailing address
35548 CTY RD 66, CROSSLAKE, MN 56442
(218) 692-6072
(218) 692-6073

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2077
MN
237700000X
Hearing Instrument Specialist
Primary
2077
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2077
STATE LICENSE
MN
01
3985959001
MINNESOTA STATE IDENTIFIC
MN
01
41-1588057
FEDERAL IDENTIFICATION
MN
Enumeration date
10/16/2006
Last updated
05/14/2024
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