Provider Demographics
NPI:1669449492
Name:STRIKE, DAVID G (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:STRIKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:MMC 250
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-624-9996
Mailing Address - Fax:612-625-4410
Practice Address - Street 1:516 DELAWARE STREET SE
Practice Address - Street 2:DELAWARE STREET CLINIC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-625-4680
Practice Address - Fax:612-626-4374
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2014-05-22
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Provider Licenses
StateLicense IDTaxonomies
MN33226207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN470208500Medicaid
440000111Medicare ID - Type Unspecified
MN470208500Medicaid