Provider Demographics
NPI:1346226297
Name:STROBEL, DAVID WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:STROBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 18TH ST SW
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-1326
Mailing Address - Country:US
Mailing Address - Phone:763-489-8979
Mailing Address - Fax:833-340-7428
Practice Address - Street 1:1300 18TH ST SW
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-1326
Practice Address - Country:US
Practice Address - Phone:763-489-8979
Practice Address - Fax:507-512-1014
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN34690207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN080119803OtherMEDICARE RAILROAD
MN390792900Medicaid
MN080004185Medicare ID - Type Unspecified
MN390792900Medicaid