Individual
DR. EUGENE WALTER TRYCIECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8371
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8371
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101007736
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300127739
RAILROAD MEDICARE
MI
05
—
4371188
—
MI
Enumeration date
11/09/2006
Last updated
01/28/2025
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