Mike Gene Trom in Watertown - Speech-language Pathologist

Mike Gene Trom - NPI 1780803536

Mike Gene Trom is a Speech-language Pathologist in Watertown, Minnesota. Mike Gene Trom practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mike Gene Trom is 1780803536. The last update date is 2007-07-08.

Mike Gene Trom's current location address is 204 Lewis Ave S, Watertown, Minnesota. You can contact this provider via phone number 9529552242 and fax number 9529552010. The mailing address for Mike Gene Trom is 204 Lewis Ave S, Watertown, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mike Gene Trom
Address 204 Lewis Ave S, Watertown, Minnesota
Phone Number 9529552242
Fax Number 9529552010
Sole Proprietor N
Credentials SLP

NPI Number Detail

NPI Number 1780803536
Provider Enumeration Date 2007-04-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 204 Lewis Ave S
City Watertown
State Minnesota (MN)
Post Code 553884500
Phone Number 9529552242
Fax Number 9529552010

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 5314
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HP43973 MN HEALTH PARTNERS
307K1TR MN BCBS MN

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FAQs about Mike Gene Trom

What is the Mike Gene Trom's 1780803536?

The Mike Gene Trom's NPI (National Provider Identifier) Number is 1780803536. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mike Gene Trom's facilities are geographically located?

The facilities of Mike Gene Trom are physically situated at the following location: 204 Lewis Ave S, Watertown, MN, 553884500.

What is Mike Gene Trom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mike Gene Trom is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780803536 to Mike Gene Trom?

The Centers for Medicare & Medicaid Services assigned the 1780803536 to Mike Gene Trom on 2007-04-24.

When was the information related to Mike Gene Trom most recently updated or refreshed?

The details pertaining to the Mike Gene Trom, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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