Individual
TREY D VANAKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
4128 NOTTINGHAM CIR, CLARKSTON, MI 48346-1753
(517) 262-5142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4351052591
MI
Other
Enumeration date
07/17/2023
Last updated
04/30/2024
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