Healthcare Provider Details

I. General information

NPI: 1003493693
Provider Name (Legal Business Name): MADELYN MARIE STRICKLING D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2021
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 PORTLAND WAY S
GALION OH
44833-2312
US

IV. Provider business mailing address

269 PORTLAND WAY S
GALION OH
44833-2312
US

V. Phone/Fax

Practice location:
  • Phone: 419-468-4841
  • Fax:
Mailing address:
  • Phone: 419-468-4841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.017326
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: