Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 25MA10034200 | NJ |
NPI | 1841695632 |
---|---|
Provider Name | Martin Strueber |
First Address | Memphis, TN 38120-9446 |
Second Address | Memphis, TN 38120-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2014 |
Last Update Date | 14/04/2020 |