Individual
SHANE TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(317) 555-5555
Mailing address
332 CONGRESS PARK DR, DAYTON, OH 45459-4133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001867A
IN
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
03/25/2026
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