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Physician Compare National (NPI:1285637165)

HEALTHCARE PROVIDER: STEVEN VICTOR STRYK M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1285637165
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1557306719
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050628000618
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name STRYK
Individual professional last name
Provider First Name STEVEN
Individual professional first name
Provider Middle Name V
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty ALLERGY/IMMUNOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1600 S CANTON CTR RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 360
Group Practice or individual's line 2 address
City CANTON
Group Practice or individual's city
State MI
Group Practice or individual's state
Zip Code 481880004
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 230156
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ST JOSEPH MERCY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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