Individual
TREY NYGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1105 HACKER ST, BUFFALO, IA 52728-7776
(308) 233-2353
Mailing address
1105 HACKER ST, BUFFALO, IA 52728-7776
(308) 233-2353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.008287
IL
363A00000X
Physician Assistant
Primary
108364
IA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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