Organization
DANA R. TROTTER MD SC
Active
Organization
DANA R. TROTTER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA R. TROTTER MD (OWNER)
(262) 637-1000
Entity
Organization
Contact information
Practice address
5439 DURAND AVE, #103, RACINE, WI 53406-5058
(262) 637-1000
Mailing address
5439 DURAND AVE, SUITE # 103, RACINE, WI 53406-5058
(262) 637-1000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31440800
—
WI
Enumeration date
05/15/2007
Last updated
06/20/2012
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