Provider Demographics
NPI:1336253103
Name:STUTZ, TROY (PA)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:STUTZ
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2 HERITAGE OAK LN
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4250
Mailing Address - Country:US
Mailing Address - Phone:269-979-6360
Mailing Address - Fax:269-979-6380
Practice Address - Street 1:2 HERITAGE OAK LN
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4250
Practice Address - Country:US
Practice Address - Phone:269-979-6360
Practice Address - Fax:269-979-6380
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601003741363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical