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NPI Code Detail

MEDICARE: DR. DONALD EUGENE TRUMMEL MD PHD

MEDICARE: DR. DONALD EUGENE TRUMMEL MD PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician044361GA
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician55903TN

General Provider Information

NPI Number : 1164411047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD EUGENE TRUMMEL MD PHD
Provider Business Mailing Address
First Line : 1801 N JACKSON ST STE 7
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-8259
Country : US
Telephone Number : 931-461-8871
Fax Number :
Provider Business Practice Location Address
First Line : 1801 N JACKSON ST STE 7
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-8259
Country : US
Telephone Number : 931-461-8871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 08/19/2019

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