Provider Demographics
NPI:1720216187
Name:WILLIAM R. TRULUCK II DO PLLC
Entity type:Organization
Organization Name:WILLIAM R. TRULUCK II DO PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:TRULUCK
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:517-908-3360
Mailing Address - Street 1:3945 OKEMOS RD STE B4
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-4207
Mailing Address - Country:US
Mailing Address - Phone:517-908-3360
Mailing Address - Fax:517-908-3368
Practice Address - Street 1:3945 OKEMOS RD STE B4
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864
Practice Address - Country:US
Practice Address - Phone:517-908-3360
Practice Address - Fax:517-908-3368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-24
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty