Healthcare Provider Details

I. General information

NPI: 1922065754
Provider Name (Legal Business Name): CECILIA STROEDE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 WESTWOOD CENTER BLVD
WAUSAU WI
54401-2892
US

IV. Provider business mailing address

1901 WESTWOOD CENTER BLVD FL 2
WAUSAU WI
54401-2892
US

V. Phone/Fax

Practice location:
  • Phone: 715-870-2162
  • Fax:
Mailing address:
  • Phone: 715-870-2162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number52238
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number52238
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA07818300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: