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NPI Code Detail

MEDICARE: MICHAEL J TROBEC D.O.

MEDICARE: MICHAEL J TROBEC 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
1207P00000XEmergency Medicine Physician49252WI
2207Q00000XFamily Medicine Physician02002115AIN
3207Q00000XFamily Medicine Physician49252WI
4207Q00000XFamily Medicine PhysicianA-2213-19NM

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 : 1134180748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J TROBEC D.O.
Provider Business Mailing Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5703
Country : US
Telephone Number : 715-387-5511
Fax Number :
Provider Business Practice Location Address
First Line : 3501 CRANBERRY BLVD
Second Line :
City : WESTON
State : WI
Zip : 54476-5213
Country : US
Telephone Number : 715-393-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 03/19/2021

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Directions to “ MICHAEL J TROBEC D.O.” Practice Location

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