Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 23925 | NE |
Y | 207L00000X | Anesthesiologist | 51646-20 | WI |
NPI | 1003029141 |
---|---|
Provider Name | Jeffrey Brian Trohkimoinen |
First Address | La Crosse, WI 54601-5429 |
Second Address | La Crosse, WI 54601-5429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 28/12/2020 |