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NPI Code Detail

MEDICARE: MICHAEL C STRUCK MD

MEDICARE:   MICHAEL C STRUCK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician Physician04-46941KS
2207W00000XOphthalmology Physician33915WI
3207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician Physician2022042486MO

General Provider Information

NPI Number : 1144296674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL C STRUCK MD
Provider Business Mailing Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-701-5200
Fax Number : 816-302-9939
Provider Business Practice Location Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-234-3000
Fax Number : 816-302-9939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 11/16/2022

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Directions to “ MICHAEL C STRUCK MD” Practice Location

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