Individual
MR. JOSEPH LAVERN TROLLMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 E CAROLINE ST, FENTON, MI 48430-2105
(810) 629-4187
(810) 629-9662
Mailing address
PO BOX 129, FENTON, MI 48430
(810) 629-4187
(810) 629-9662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101005954
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152524585
BCBS
MI
05
—
1001880
—
MI
Enumeration date
03/26/2007
Last updated
09/10/2019
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