| Organization Name: | TROUT LAKE TOWNSHIP |
| NPI Number: | 1962671438 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRYSTAL WILLOBEE (TOWNSHIP CLERK) |
| Mailing Address: | 21501 S Beech St Trout Lake |
| State: | MI US |
| Postal Code: | 49793 |
| Phone Number: | 9065693291 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2008 |
| NPI Last Update Date: | 03/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 171018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |