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General NPI Number Information
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NPI Number | 1720547904
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Entity Type | Individual
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Provider Name | COLLIN MICHAEL TROESTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 6161 S YALE AVE
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City | TULSA
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State | OK
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Zip | 74136-1902
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Country | US
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Telephone | 918-743-8838
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Fax | 918-743-8552
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Provider Business Mailing Address
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Address Line | PO BOX 4930
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City | TULSA
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State | OK
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Zip | 74159-0930
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Country | US
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Telephone | 918-743-8838
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 45062
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License Number State | OK
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