MEDICARE: HANNAH ELIZABETH STRACHAN DDS

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
1	1223G0001X	General Practice Dentistry	6001787-15	WI

General Provider Information

NPI Number	:	1487448122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH ELIZABETH STRACHAN DDS

Provider Business Mailing Address
First Line	:	W5732 CEDAR AVE
Second Line	:
City	:	SHAWANO
State	:	WI
Zip	:	54166-5334
Country	:	US
Telephone Number	:	920-905-2258
Fax Number	:

Provider Business Practice Location Address
First Line	:	2625 TULIP LN
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54313-6855
Country	:	US
Telephone Number	:	920-434-1515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	05/28/2025

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