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Individual

TRINH GIA TRUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4491 N OAKLAND AVE, SHOREWOOD, WI 53211-1611
(414) 967-9486
(414) 967-9508
Mailing address
N82W5858 ORCHARD DR, CEDARBURG, WI 53012-1417

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36462020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32119300
WI
Enumeration date
06/24/2006
Last updated
06/03/2008
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