Basic Information
| Provider Information | |||||||||
| NPI: | 1437512704 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STROHL | ||||||||
| FirstName: | MADELEINE | ||||||||
| MiddleName: | PERKINS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 909 | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402010909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025880325 | ||||||||
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| Practice Location | |||||||||
| Address1: | 401 E CHESTNUT ST UNIT 710 | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402025707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025833687 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2016 | ||||||||
| LastUpdateDate: | 08/22/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | ME149293 | FL | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | 56899 | KY | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.