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Individual

DR. JACQUELINE A TRESCHUK-BAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036078816
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2012029923
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000553574
BCBS ANTHEM
KY
05
036078816
IL
05
7100041220
KY
Enumeration date
01/26/2006
Last updated
03/04/2026
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