Individual
CLIFFORD JAMES TRILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 W GROVE ST, MAQUOKETA, IA 52060-2163
(563) 652-2474
Mailing address
851 KELLY HTS, DUBUQUE, IA 52003-8601
(563) 588-4804
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-047394
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30071
MEDICAL LICENSE
IA
Enumeration date
10/06/2006
Last updated
07/08/2007
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