Troy, Marie Kristin

Troy, Marie Kristin is an individual health care provider with primary practice located at 10945 N Port Washington Rd Ste 201 , Mequon WI 53092-5078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Troy, Marie Kristin can be contacted via phone (414) 434-0461.

Contact Information

Primary practice address
10945 N Port Washington Rd Ste 201 Mequon WI 53092-5078
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23888-020 Wisconsin

Profile Details

NPI number 1407842602
LBN Legal business name Troy, Marie Kristin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Mar 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407842602 NPPES
Wisconsin MEDICAID 32172700

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