Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 4301059315 | MI |
NPI | 1285637165 |
---|---|
Provider Name | Dr. Steven Victor Stryk |
First Address | Canton, MI 48188-0004 |
Second Address | Canton, MI 48188-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 11/07/2016 |