NPI 1023465333

Michael Alan Trevino, MD

Practitioner Diagnostic Radiology Physician Fort Wayne, IN

Practice location

Address: 7910 W Jefferson Blvd STE 108, Fort Wayne, IN 46804-4159
Phone: (260) 436-0800
Fax: (260) 483-1911
Mailing address: PO Box 749495, Atlanta, GA 30374-9495

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 01085799A (IN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023465333
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2016
Record last updated: 21 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.