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Individual

MATTHEW G TROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3500 FRANCISCAN WAY STE 300, MICHIGAN CITY, IN 46360-0021
(219) 879-6531
(219) 878-8331
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01049536A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000371643
ANTHEM
IN
05
200199450
IN
01
P00252552
RR MEDICARE
Enumeration date
09/19/2005
Last updated
03/13/2021
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