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NPI Code Detail

MEDICARE: DR. MARIE KRISTIN TROY M.D.

MEDICARE: DR. MARIE KRISTIN TROY M.D.
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
12085R0202XDiagnostic Radiology Physician23888-020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407842602
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIE KRISTIN TROY M.D.
Provider Business Mailing Address
First Line : 725 AMERICAN AVE
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-5031
Country : US
Telephone Number : 262-928-2400
Fax Number : 262-928-7621
Provider Business Practice Location Address
First Line : 10945 N PORT WASHINGTON RD STE 201
Second Line :
City : MEQUON
State : WI
Zip : 53092-5078
Country : US
Telephone Number : 414-434-0461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 03/16/2020

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