Provider Demographics
NPI:1366653628
Name:STRAMECKI DOUCETTE, SARYN VAN (MD)
Entity Type:Individual
Prefix:
First Name:SARYN
Middle Name:VAN
Last Name:STRAMECKI DOUCETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARYN
Other - Middle Name:
Other - Last Name:DOUCETTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-3522
Practice Address - Country:US
Practice Address - Phone:608-263-8443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD46814207ZP0102X
WI58673207ZP0102X
WI58673-20207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology