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NPI Code Detail

MEDICARE: STRAUCHMAN MORNINGSTAR ADVANCED HEALTH CARE, PLC.

MEDICARE: STRAUCHMAN MORNINGSTAR ADVANCED HEALTH CARE, PLC.
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
1207Q00000XFamily Medicine Physician5101015946MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10152511265OTHERMIBCBSM PROVIDER NUMBER

General Provider Information

NPI Number : 1205997996
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRAUCHMAN MORNINGSTAR ADVANCED HEALTH CARE, PLC.
Provider Business Mailing Address
First Line : 10683 S SAGINAW ST
Second Line : SUITE B
City : GRAND BLANC
State : MI
Zip : 48439-8127
Country : US
Telephone Number : 810-694-3576
Fax Number : 810-694-9544
Provider Business Practice Location Address
First Line : 10683 S SAGINAW ST
Second Line : SUITE B
City : GRAND BLANC
State : MI
Zip : 48439-8127
Country : US
Telephone Number : 810-694-3576
Fax Number : 810-694-9544
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. MEGAN NICOLE STRAUCHMAN
Credential : D.O.
Telephone Number : 810-694-3576
Provider Enumeration Date : 12/13/2006
Last Update Date : 07/19/2007

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