MEDICARE: DR. PAUL R. TROOST DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5101012776	MI

General Provider Information

NPI Number	:	1285664391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL R. TROOST DO

Provider Business Mailing Address
First Line	:	508 W MAIN ST STE A2
Second Line	:
City	:	LOWELL
State	:	MI
Zip	:	49331-1691
Country	:	US
Telephone Number	:	616-255-6902
Fax Number	:	616-726-5296

Provider Business Practice Location Address
First Line	:	508 W MAIN ST STE A2
Second Line	:
City	:	LOWELL
State	:	MI
Zip	:	49331-1691
Country	:	US
Telephone Number	:	616-255-6902
Fax Number	:	616-726-5296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	02/02/2026

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Directions to “ DR. PAUL R. TROOST DO” Practice Location

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