Individual
JOSHUA KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Mailing address
400 HOBART ST, C/O PAYER ENROLLMENT, CADILLAC, MI 49601-2331
(231) 876-7807
(231) 876-6121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101023923
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101023923
LICENSE
MI
Enumeration date
05/30/2018
Last updated
12/30/2018
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