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Individual

DR. JOHNNY RAY TROTTER II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20905 GREENFIELD RD, SUITE 303, SOUTHFIELD, MI 48075-5360
(248) 559-7730
Mailing address
20905 GREENFIELD RD, SUITE 303, SOUTHFIELD, MI 48075-5360
(248) 559-7730

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-090208
OH
208600000X
Surgery Physician
4301091131
MI

Other

Enumeration date
11/27/2007
Last updated
11/27/2007
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