Provider Demographics
NPI:1841993037
Name:TROYER ANESTHESIA LLC
Entity type:Organization
Organization Name:TROYER ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:TROYER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:920-901-7898
Mailing Address - Street 1:2320 HUNTERS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-9680
Mailing Address - Country:US
Mailing Address - Phone:920-901-7898
Mailing Address - Fax:
Practice Address - Street 1:2320 HUNTERS RIDGE CT
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-9680
Practice Address - Country:US
Practice Address - Phone:920-901-7898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty