Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 5101014678 | MI |
NPI | 1740244870 |
---|---|
Provider Name | Dr. Richard J Strabbing |
First Address | Holland, MI 49424 |
Second Address | Holland, MI 49424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 14/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D16150187 | MEDICARE PROVIDER NUMBER (01) | MI |
I19332 | (02) | MI |