Healthcare Provider Details

I. General information

NPI: 1114954286
Provider Name (Legal Business Name): WILLIAM D STRAMPEL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 SERVICE RD STE A35
EAST LANSING MI
48824-1376
US

IV. Provider business mailing address

D128 W FEE HALL
EAST LANSING MI
48824-1315
US

V. Phone/Fax

Practice location:
  • Phone: 517-355-1300
  • Fax: 517-355-1710
Mailing address:
  • Phone: 517-355-3503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101014110
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: