Individual
TRENT MAZER
Active
Individual
TRENT MAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301114569
MI
207Q00000X
Family Medicine Physician
4351034175
MI
207R00000X
Internal Medicine Physician
Primary
0101272901
VA
Other
Enumeration date
06/18/2018
Last updated
08/18/2021
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