Basic Information
Provider Information
NPI: 1689089716
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRICKLAND
FirstName: BRITTANY
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1675 LEAHY ST
Address2: SUITE 315A
City: MUSKEGON
State: MI
PostalCode: 494425500
CountryCode: US
TelephoneNumber: 2317275250
FaxNumber: 2317284691
Practice Location
Address1: 1675 LEAHY ST
Address2: SUITE 311A
City: MUSKEGON
State: MI
PostalCode: 494425500
CountryCode: US
TelephoneNumber: 2317285600
FaxNumber: 2317284691
Other Information
ProviderEnumerationDate: 06/27/2014
LastUpdateDate: 04/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X5101021376MIN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207V00000X5101021376MIY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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