Doctor Name: | DR. WILLIAM CHARLES TROWBRIDGE |
NPI Number: | 1972603041 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301030171 |
Business Practice Address: | 790 E Columbia St Mason, MI - 488541387 |
Business Phone Number: | 6168911169 |
Business Fax Number: | |
Mailing Address: | 9680 Ravine Ridge Dr Se, CALEDONIA |
State: | MI |
Postal Code: | 49316 |
Phone Number: | 6168911169 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 05/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301030171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |