Provider Demographics
NPI:1043273642
Name:SEDLMEYER, TROY LYNN (MD)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:LYNN
Last Name:SEDLMEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1197 VAN VOORHIS RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3478
Mailing Address - Country:US
Mailing Address - Phone:304-598-2233
Mailing Address - Fax:304-599-9536
Practice Address - Street 1:900 FAIRMONT RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-3847
Practice Address - Country:US
Practice Address - Phone:304-292-7316
Practice Address - Fax:304-296-4408
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2008-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV21396207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVP00444378OtherRAILROAD MEDICARE
WV1812785000Medicaid
WVI06066Medicare UPIN
WV4132553Medicare PIN