Healthcare Provider Details

I. General information

NPI: 1003903121
Provider Name (Legal Business Name): MARC TRESSLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 NEW SHACKLE RD. SUITE 240C
HENDERSONVILLE TN
37075
US

IV. Provider business mailing address

1321 MURFREESBORO RD SUITE 510
NASHVILLE TN
37217-2626
US

V. Phone/Fax

Practice location:
  • Phone: 615-826-7171
  • Fax: 615-826-7170
Mailing address:
  • Phone: 615-366-8890
  • Fax: 615-366-3379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036150934
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberDO1686
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberDO0000001686
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDO1686
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: