Provider Demographics
NPI:1518935675
Name:STRAUCH, WILLIAM DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DOUGLAS
Last Name:STRAUCH
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 1:96 12TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3235
Mailing Address - Country:US
Mailing Address - Phone:304-232-0510
Mailing Address - Fax:304-232-0526
Practice Address - Street 1:96 12TH ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3235
Practice Address - Country:US
Practice Address - Phone:304-232-0510
Practice Address - Fax:304-232-0526
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11196207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVA72054Medicare UPIN