Provider Demographics
NPI:1407410616
Name:TROJANOWSKI, NATALIE SUSAN (MD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:SUSAN
Last Name:TROJANOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6123 CUVIELLO COURT
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:ON
Mailing Address - Zip Code:L2G 7X7
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 BAYLOR PLZ
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:832-355-7860
Practice Address - Fax:832-355-6270
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL125.075231207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program