MICHAEL DONALD TRIASSI

OFFUTT AFB, NE
NPI1902300577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  2231)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-20
Last Update Date2021-08-18
Business Address
MICHAEL DONALD TRIASSI DO
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-232-9415
Mailing Address
MICHAEL DONALD TRIASSI DO
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-232-9415