Individual
DR. TROY D CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 EAST BLVD, EMERGENCY DEPARTMENT, ELKHART, IN 46514-2483
(574) 523-3161
(574) 523-3221
Mailing address
600 EAST BLVD, EMERGENCY DEPARTMENT, ELKHART, IN 46514-2483
(574) 523-3161
(574) 523-3221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01053909
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196952
ANTHEM
IN
05
—
104311635
—
MI
05
—
200332130
—
IN
01
—
930106366
RAIL ROAD MEDICARE
IN
Enumeration date
08/16/2005
Last updated
12/20/2011
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