Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 37690 | MN |
NPI | 1013098243 |
---|---|
Provider Name | Michele D Strachan |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0056746 | (05) | MT |
08G19ST | BLUE CROSS BLUE SHIELD (01) | MN |
1017785 | PREFERRED ONE (01) | MN |
10387 | (05) | ND |
12-07807 | MEDICA CHOICE (01) | MN |
12-09026 | MEDICA PRIMARY (01) | MN |
123024 | UCARE (01) | MN |
32452700 | (05) | WI |
7777470 | (05) | SD |
855214 | ARAZ (01) | MN |
A63229 | (02) | |
HP28862 | HEALTH PARTNERS (01) | MN |