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NPI 1578886123

IndividualActive

Aaron Treloar, IDC

NPI 1578886123 · Independent Duty Corpsman · Kenosha, WI

Provider details

NPI number: 1578886123
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Practice location

9930 74th St Unit E

Kenosha, WI 53142-7540

Phone: (757) 675-8873

More WI providers

Mailing address

9930 74th St Unit E

Kenosha, WI 53142-7540

Registry dates

Enumerated: 2010-03-11
Last updated: 2012-02-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aaron Treloar, IDC — NPI 1578886123, Kenosha, WI | NPI Central