Healthcare Provider Details

I. General information

NPI: 1750961611
Provider Name (Legal Business Name): TREY BERNARD RAMIREZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 ST. ANTOINE, UHC-9C
DETROIT MI
48201-2153
US

IV. Provider business mailing address

3518 GREENFIELD RD
BERKLEY MI
48072-3132
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-7233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number5101028246
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: