Individual
MICHAEL J STRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 W 5TH ST, SUITE 103, SHERIDAN, WY 82801-2752
(307) 672-8921
(307) 672-3944
Mailing address
1333 W 5TH ST, SUITE 103, SHERIDAN, WY 82801-2752
(307) 672-8921
(307) 672-3944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3400A
WY
207Q00000X
Family Medicine Physician
9988
MT
207R00000X
Internal Medicine Physician
Primary
3400A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010003564
RAILROAD MEDICARE PROVIDE
WY
05
—
118602700
—
WY
01
—
302145
WY BLUE SHIELD PROVIDER #
WY
01
—
3400A
WY STATE LICENSE #
WY
01
—
9988
MONTANA STATE LICENSE NUM
MT
Enumeration date
07/12/2005
Last updated
09/09/2008
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