Provider Demographics
NPI:1346240124
Name:TROSIN, CYNTHIA MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MARIE
Last Name:TROSIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:810-342-1000
Mailing Address - Fax:810-342-1590
Practice Address - Street 1:35103 SILVANO ST
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48035-2685
Practice Address - Country:US
Practice Address - Phone:586-791-5250
Practice Address - Fax:586-791-0408
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICT007353207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI080D410020OtherBCBS BLUE CHOICE BCN
MI4395887Medicaid
MI4960202Medicaid
MI1022824OtherMHP HAN
MI080D410020OtherBCBS BLUE CHOICE BCN
MI4395887Medicaid
MI1022824OtherMHP HAN