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Individual
DR. TROY W AHLSTROM
Active
Individual
DR. TROY W AHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301070208
MI
207R00000X
Internal Medicine Physician
Primary
4301070208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4724887
—
MI
01
—
TA070208
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/14/2005
Last updated
09/14/2007
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