Individual
MARC-ANTOINE TREMBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2424 S 90TH ST STE 500, WEST ALLIS, WI 53227-2464
(414) 321-2255
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 321-2255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
70073
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
70073
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082222
—
WI
Enumeration date
03/23/2017
Last updated
10/11/2023
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