Active NPI
Renee M Truman
- Technician
- Wyandotte, MI
National Provider Identifier
1598533721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- 2704116576
- Practice address
- 440 Eureka Rd Ste G
Wyandotte, MI 48192-5842 - Phone
- (734) 363-8090
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | 2704116576 | MI | Primary |
Addresses
Primary practice location
440 Eureka Rd Ste G
Wyandotte, MI 48192-5842
Mailing address
440 Eureka Road
Suite G
Wyandotte, MI 48192
Phone (734) 363-8090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2704116576 | MI | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1598533721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 EUREKA ROAD",
"address_2": "SUITE G",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "48192",
"telephone_number": "734-363-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 EUREKA RD STE G",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481925842",
"telephone_number": "734-363-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMAN",
"first_name": "RENEE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "MI",
"license": "2704116576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.