Individual
RORY DWAIN TROTTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2810 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 738-2004
Mailing address
2810 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 738-2004
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8135
ND
207VG0400X
Gynecology Physician
8135
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026493
BCBSND
ND
01
—
0704690
MEDICA
ND
05
—
10836
—
ND
01
—
20300523558201A002
TRICARE
ND
01
—
859517800
MN MEDICAL ASSISTANCE
ND
01
—
NA4511021933
PREFERREDONE
ND
Enumeration date
05/20/2006
Last updated
11/09/2015
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