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NPI Code Detail

MEDICARE: MRS. SUSAN HERDERICH STRICH M.D.

MEDICARE:  MRS. SUSAN HERDERICH STRICH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301057631MI
2207R00000XInternal Medicine Physician057631MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10G71004OTHERMIRHC BLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326026501
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN HERDERICH STRICH M.D.
Provider Business Mailing Address
First Line : 1140 NORTH STATE STREET
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781
Country : US
Telephone Number : 906-643-8585
Fax Number : 906-643-9036
Provider Business Practice Location Address
First Line : 1140 NORTH STATE STREET
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781
Country : US
Telephone Number : 906-643-8585
Fax Number : 906-643-9036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 01/22/2024

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Directions to “ MRS. SUSAN HERDERICH STRICH M.D.” Practice Location

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