Vincent Shawn Trent M.D.

NPI 1093926214 - Pathology - 207ZC0500X

NPI Details
NPI 1093926214
Gender Male
Enumeration Date 05/28/2007
Last Updated 04/30/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
113 LAKE VILLAGE BLVD APT 101
DEARBORN MI, 48120-1679, US
Phone (313) 410-4061
Fax
Business Location
113 LAKE VILLAGE BLVD APT 101
DEARBORN MI, 48120-1679, US
Phone (313) 410-4061
Fax
Toxanomy
Taxonomy Code 207ZC0500X
License State Michigan
License Number 4301060421
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According to our database, Dr. Vincent Shawn Trent M.D. NPI is 1093926214, taxonomy code is 207ZC0500X and license number is 4301060421, license state is located at Michigan. Vincent Shawn Trent M.D. physically located at 113 Lake Village Blvd Apt 101, Dearborn MI, 48120-1679. NPI Number Vincent Shawn Trent M.D. has the Individual type.

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1093926214 NPI number is provided on an as is basis without warranty of any kind. 1093926214 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Shawn Trent M.D. are for informational purposes only.