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1124100698
DANIEL J TRIEZENBERG
MISHAWAKA, IN
NPI
1124100698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01050823)
Enumeration Date
2006-10-20
Last Update Date
2016-09-28
Business Address
-- DANIEL J TRIEZENBERG MD
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 219-462-7173
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Mailing Address
-- DANIEL J TRIEZENBERG MD
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Phone number: 574-307-7673
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