MEDICARE: DAVID HOWARD STRAUCH

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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1629665328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID HOWARD STRAUCH

Provider Business Mailing Address
First Line	:	9121 LAKE IN THE WOODS TRL
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44023-4352
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9121 LAKE IN THE WOODS TRL
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44023-4352
Country	:	US
Telephone Number	:	440-667-8583
Fax Number	:

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

Provider Enumeration Date	:	12/29/2020
Last Update Date	:	12/29/2020

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Directions to “ DAVID HOWARD STRAUCH ” Practice Location

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