Thaddeus P. Srutwa
Physical Medicine & Rehabilitation Doctor Neuromusculoskeletal Medicine (NMM)
16986 Robbins Rd Ste 180
Grand Haven
, Michigan 49417-2795
Thaddeus P. Srutwa
Physical Medicine & Rehabilitation Doctor Neuromusculoskeletal Medicine (NMM)
16986 Robbins Rd Ste 180
Grand Haven
, Michigan 49417-2795
(616) 229-3295
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Thaddeus P. Srutwa
- 16986 Robbins Rd Ste 180
- Grand Haven, MI
- Zip : 49417-2795
- Fax : (616) 229-3295
- Phone : (616) 229-3295
Second Address
- Thaddeus P. Srutwa
- 16986 Robbins Rd Ste 180
- Grand Haven, MI
- Zip : 49417-2795
- Fax : (616) 296-2423
- Phone : (616) 213-0253
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 4301045363 | MI |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301045353 | MI |
National Provider Identifier
| NPI | 1366489635 |
|---|---|
| Provider Name | Thaddeus P. Srutwa |
| First Address | Grand Haven, MI 49417-2795 |
| Second Address | Grand Haven, MI 49417-2795 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 05/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0700125 | BLUE CROSS BLUE SHEILD (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.