Individual
TROY A PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, CENTRA CARE CLINIC, ST CLOUD, MN 56303
(320) 251-0726
(302) 229-5188
Mailing address
1200 SIXTH AVE N, CENTRA CARE CLINIC, ST CLOUD, MN 56303
(320) 252-5131
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
40591
MN
2084N0400X
Neurology Physician
40591
MN
2084N0600X
Clinical Neurophysiology Physician
40591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
998517400
—
MN
Enumeration date
03/09/2006
Last updated
11/30/2020
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