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NPI Code Detail

MEDICARE: THOMAS A. STRAUB PA

MEDICARE: THOMAS A. STRAUB PA
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
1363A00000XPhysician AssistantIN

General Provider Information

NPI Number : 1548696206
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS A. STRAUB PA
Provider Business Mailing Address
First Line : PO BOX 670
Second Line :
City : HUNTERTOWN
State : IN
Zip : 46748-0670
Country : US
Telephone Number : 260-748-3650
Fax Number : 260-748-3651
Provider Business Practice Location Address
First Line : 1721 MAGNAVOX WAY
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-1537
Country : US
Telephone Number : 260-748-3650
Fax Number : 260-748-3651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2013
Last Update Date : 08/19/2019

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Directions to “ THOMAS A. STRAUB PA” Practice Location

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