Individual
JEFFREY ALAN TRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18100 OAKWOOD BLVD STE 315, DEARBORN, MI 48124-4085
(313) 271-0066
(313) 271-1047
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301058425
MI
Other
Enumeration date
06/01/2006
Last updated
09/14/2018
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