Individual
MICHAEL TIMOTHY STRAZZANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11055 BROADWAY, CROWN POINT, IN 46307-9177
(219) 797-7463
Mailing address
11055 BROADWAY, CROWN POINT, IN 46307-9177
(219) 797-7463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001707A
IN
Other
Enumeration date
08/18/2014
Last updated
10/17/2019
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