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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK TREBELHORN, MD

Active

DR. JACK TREBELHORN, MD is a Urology healthcare provider located in SAINT CLAIR SHORES, Michigan. NPI 1619331998 is currently active in the NPPES registry. Verify at CMS.

Urology · SAINT CLAIR SHORES, MI

Registration Details

NPI Number
1619331998
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2016 (10.357799538725 yrs)
Last Updated
Jun 9, 2022
License
DR.0067578 (CO)

Practice Information

Address
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI, 480813203
Browse MI providers · Browse ZIP 48081
Phone
5867714820
Fax
3034853377
Primary Specialty
Urology
208800000X
Additional Specialty
Urology

Other Urology Providers in SAINT CLAIR SHORES, MI

Name Credential NPI
DR. SCOTT I SIRCUS M.D. 1295724060
DR. STEPHEN A STUPPLER M.D. 1710976584
SCOTT WILKINSON DO 1184812992
DR. ROBERT LEWIS ELGIN D.O. 1053674101
MAHDI BAZZI MD 1477113629
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.