Provider Demographics
NPI:1174805386
Name:TROUTMAN, JOHN MITCHELL (DVM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MITCHELL
Last Name:TROUTMAN
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
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Mailing Address - Street 1:8945 EVERGREEN BLVD NW
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-6043
Mailing Address - Country:US
Mailing Address - Phone:763-951-8090
Mailing Address - Fax:763-951-8091
Practice Address - Street 1:8945 EVERGREEN BLVD NW
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55433-6043
Practice Address - Country:US
Practice Address - Phone:763-951-8090
Practice Address - Fax:763-951-8091
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN00611174M00000X, 174MM1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
No174MM1900XOther Service ProvidersVeterinarianMedical Research