Provider Demographics
NPI:1285699785
Name:SCHROCK, TROY D (DO)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:D
Last Name:SCHROCK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:UNITY
Mailing Address - State:WI
Mailing Address - Zip Code:54488-9797
Mailing Address - Country:US
Mailing Address - Phone:715-223-8223
Mailing Address - Fax:715-254-9454
Practice Address - Street 1:102 E 2ND ST
Practice Address - Street 2:
Practice Address - City:UNITY
Practice Address - State:WI
Practice Address - Zip Code:54488-9797
Practice Address - Country:US
Practice Address - Phone:715-223-8223
Practice Address - Fax:715-254-9454
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49460207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine