Individual
S DOUGLAS STRYCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 S MAIN STREET, MILFORD, IN 46542-0128
(574) 658-4142
(574) 658-3160
Mailing address
PO BOX 128, MILFORD, IN 46542-0128
(574) 658-4142
(574) 658-3160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031194A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112486
ANTHEM BCBS IND #
IN
05
—
100144840A
—
IN
01
—
12935
PHP IND #
IN
05
—
200300890A
—
IN
Enumeration date
07/18/2005
Last updated
12/12/2007
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