Individual
JOSEPH A. STROETKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02592
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0204770001
MEDICARE NSC #
MO
05
—
312334105
—
MO
Enumeration date
06/27/2006
Last updated
06/24/2008
Update your record
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