Doctor Name: | MR. STEVEN DOUGLAS TROMBLY |
NPI Number: | 1407867815 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036680 |
Business Practice Address: | 5195 15 Mile Road Sterling Heights, MI - 48310 |
Business Phone Number: | 5862689000 |
Business Fax Number: | 5869787000 |
Mailing Address: | 5195 15 Mile Road, STERLING HEIGHTS |
State: | MI |
Postal Code: | 48310 |
Phone Number: | 5862689000 |
Fax Number: | 5869787000 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036680 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |