Individual
DAVID A. TRENKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 110, FORT WAYNE, IN 46845-1714
(260) 266-9100
(260) 266-9101
Mailing address
7910 W JEFFERSON BLVD STE 110, FORT WAYNE, IN 46804-4159
(260) 436-4116
(260) 436-1878
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01031940A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000614692
ANTHEM PIN
IN
05
—
0788081
—
OH
05
—
100321320
—
IN
05
—
103434971
—
MI
05
—
104239274
—
MI
01
—
300039787
MEDICARE RAILROAD
IN
Enumeration date
08/02/2005
Last updated
03/11/2013
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