Individual
DR. JOSEPH THOMAS TRUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
3901 24TH AVENUE, FORT GRATIOT, MI 48059-4102
(810) 984-1586
(810) 984-4789
Mailing address
3901 24TH AVENUE, FORT GRATIOT, MI 48059-4102
(810) 984-1586
(810) 984-4789
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
08887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
663672
UNITED CONCORDIA
PA
Enumeration date
07/24/2006
Last updated
07/08/2007
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