Individual
MR. TROY TEAGARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2500 NILES RD STE 6, SAINT JOSEPH, MI 49085-3268
(269) 408-1660
(269) 408-1665
Mailing address
2500 NILES RD STE 6, SAINT JOSEPH, MI 49085-3268
(269) 408-1660
(269) 408-1665
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601004173
MI
Other
Enumeration date
08/19/2005
Last updated
10/15/2012
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