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Individual

MICHAEL DONALD TRIASSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-9415
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-9415

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2231
NE
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/20/2018
Last updated
08/18/2021
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