Individual
DR. JAY MICHAEL TRUSSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
585 INTERSTATE DR, SUITE B, MANCHESTER, TN 37355-3191
(931) 728-9000
(931) 728-2726
Mailing address
585 INTERSTATE DR, SUITE B, MANCHESTER, TN 37355-3191
(931) 728-9000
(931) 728-2726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
163
TN
207Q00000X
Family Medicine Physician
Primary
1634
TN
261QP2300X
Primary Care Clinic/Center
1634
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37-30274
—
TN
01
—
4105314
BC
—
Enumeration date
06/26/2006
Last updated
04/28/2022
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