Healthcare Provider Details

I. General information

NPI: 1629060488
Provider Name (Legal Business Name): ROBERT L STRAUSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 09/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1877 N GETTY ST
N MUSKEGON MI
49445-8563
US

IV. Provider business mailing address

1877 N GETTY ST
N MUSKEGON MI
49445-8563
US

V. Phone/Fax

Practice location:
  • Phone: 231-728-5053
  • Fax: 231-728-5086
Mailing address:
  • Phone: 231-728-5053
  • Fax: 231-728-5086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301077595
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: