Provider Demographics
NPI:1528033537
Name:STRICKLAND, MICHAEL G (DO)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:G
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 POINT DR
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:TN
Mailing Address - Zip Code:37306-4044
Mailing Address - Country:US
Mailing Address - Phone:239-691-3265
Mailing Address - Fax:
Practice Address - Street 1:1894 COWAN HWY
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2643
Practice Address - Country:US
Practice Address - Phone:931-968-2525
Practice Address - Fax:931-968-2527
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9180208800000X
TN4300208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1908169OtherFIRST HLTH/CCN PROVIDER #
FL294403OtherAVMED PROVIDER NUMBER
FLOS9180OtherMETCARE PROVIDER NUMBER
FL88730OtherAMERIGROUP PROVIDER NUM.
FL46098OtherBCBS PROVIDER NUMBER
FL5700263-005OtherCIGNA PROVIDER NUMBER
FL85299OtherOP. ENGIN. PROVIDER #
FL1193478OtherWELLCARE
FL270192800Medicaid
FL985726OtherUSA MNGD. CR. PROVIDER #
FL7289241OtherAETNA PROVIDER NUMBER
FL270192800Medicaid
FL88730OtherAMERIGROUP PROVIDER NUM.