David Trevisan, MSOP, CO

NPI #1184149551 in Jackson, Michigan

Provider Information

NPI Number: 1184149551
Entity Type: Individual
Name: David Trevisan, MSOP, CO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: MSOP, CO
Enumeration Date: Aug 7, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1407 E MICHIGAN AVE
City: Jackson
State: Michigan
ZIP Code: 49202-3517
Phone: (517) 784-1142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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