Provider Demographics
NPI:1508859018
Name:TRELOAR, JOHN W II (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:TRELOAR
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2600 EATON RAPIDS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-6354
Mailing Address - Country:US
Mailing Address - Phone:517-699-0909
Mailing Address - Fax:517-999-3472
Practice Address - Street 1:2600 EATON RAPIDS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-6354
Practice Address - Country:US
Practice Address - Phone:517-699-0909
Practice Address - Fax:517-999-3472
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI2301008731111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor