Individual
ELIZABETH TREBILCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
555 W WACKERLY ST STE 2600, MIDLAND, MI 48640-4710
(989) 794-2880
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00343767
RAILROAD MEDICARE
—
Enumeration date
06/01/2006
Last updated
04/26/2023
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