Provider Demographics
NPI:1891978912
Name:TREWHELLA, JAMES FREDERICK (QMRP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FREDERICK
Last Name:TREWHELLA
Suffix:
Gender:M
Credentials:QMRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7270 RUSSET TRL NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-8343
Mailing Address - Country:US
Mailing Address - Phone:616-450-4528
Mailing Address - Fax:616-874-1098
Practice Address - Street 1:7270 RUSSET TRL NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-8343
Practice Address - Country:US
Practice Address - Phone:616-450-4528
Practice Address - Fax:616-874-1098
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health