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Individual

TREVOR M SOERGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 HOSPITAL BLVD., JEFFERSONVILLE, IN 47130-3748
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD., JEFFERSONVILLE, IN 47130-3748
(812) 282-3899
(812) 282-4172

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01053673A
IN
208800000X
Urology Physician
38741
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64101983
KY
01
P00238795
RR MCR
IN
01
P00251775
RR MCR
KY
Enumeration date
10/04/2005
Last updated
10/24/2007
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