Individual
JAMES E STRYCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Mailing address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01078644A
IN
207Q00000X
Family Medicine Physician
Primary
4301503125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162520057
MEDICARE PTAN
IN
05
—
300003261
—
IN
Enumeration date
06/13/2014
Last updated
01/08/2021
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