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Individual

BRIAN TRETHOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MICHIGAN ST NE, SUITE 8861, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
4301111216
MI

Other

Enumeration date
12/05/2016
Last updated
03/02/2021
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