Provider Demographics
NPI:1750813176
Name:TRENGA, ANTHONY PETER (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:PETER
Last Name:TRENGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W RIVER WOODS PKWY STE 230
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-1010
Mailing Address - Country:US
Mailing Address - Phone:414-453-7418
Mailing Address - Fax:414-967-1151
Practice Address - Street 1:525 W RIVER WOODS PKWY STE 230
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53212-1010
Practice Address - Country:US
Practice Address - Phone:414-453-7418
Practice Address - Fax:414-967-1151
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI71880-020207XS0106X
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program