Provider Demographics
NPI:1053008680
Name:GERMAN TREYGER DO PLLC
Entity type:Organization
Organization Name:GERMAN TREYGER DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TREYGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-302-2949
Mailing Address - Street 1:765 S GLENHURST DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-2934
Mailing Address - Country:US
Mailing Address - Phone:248-302-2949
Mailing Address - Fax:
Practice Address - Street 1:30060 23 MILE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-5718
Practice Address - Country:US
Practice Address - Phone:248-302-2949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty