Individual
SUE A STRAYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 E LAKE SHORE DRIVE, ST MARYS-DECATUR, DECATUR, IL 62521-3883
(217) 464-2966
(217) 464-3193
Mailing address
PO BOX 790129, ST LOUIS, MO 63179-0129
(217) 964-2966
(217) 464-3193
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360800151
—
IL
Enumeration date
03/29/2006
Last updated
07/08/2007
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