MEDICARE: DR. STEVEN VICTOR STRYK M.D.

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
1	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	4301059315	MI

General Provider Information

NPI Number	:	1285637165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN VICTOR STRYK M.D.

Provider Business Mailing Address
First Line	:	1600 S CANTON CENTER RD
Second Line	:	STE 360
City	:	CANTON
State	:	MI
Zip	:	48188-0004
Country	:	US
Telephone Number	:	734-394-2661
Fax Number	:	734-394-2666

Provider Business Practice Location Address
First Line	:	1600 S CANTON CENTER RD
Second Line	:	STE 360
City	:	CANTON
State	:	MI
Zip	:	48188-0004
Country	:	US
Telephone Number	:	734-394-2661
Fax Number	:	734-394-2666

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/11/2016

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