MEDICARE: DR. JAMES RICHARD TROKEN D.O.

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	207R00000X	Internal Medicine Physician	5151013221	MI
2	207RC0000X	Cardiovascular Disease Physician	76830-21	WI

General Provider Information

NPI Number	:	1538515101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES RICHARD TROKEN D.O.

Provider Business Mailing Address
First Line	:	400 W RIVER WOODS PKWY
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53212-1060
Country	:	US
Telephone Number	:	414-259-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W RIVER WOODS PKWY
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53212-1060
Country	:	US
Telephone Number	:	414-259-7200
Fax Number	:

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

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	08/01/2022

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