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NPI Code Detail

MEDICARE: COLLIN MICHAEL TROESTER M.D.

MEDICARE: COLLIN MICHAEL TROESTER 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 Physician45062OK

General Provider Information

NPI Number : 1720547904
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLIN MICHAEL TROESTER M.D.
Provider Business Mailing Address
First Line : PO BOX 4930
Second Line :
City : TULSA
State : OK
Zip : 74159-0930
Country : US
Telephone Number : 918-743-8838
Fax Number :
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-743-8838
Fax Number : 918-743-8552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2019
Last Update Date : 12/15/2025

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