Provider Demographics
NPI:1013098243
Name:STRACHAN, MICHELE D (MD)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:D
Last Name:STRACHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-4260
Mailing Address - Fax:
Practice Address - Street 1:200 OAK STREET SE, U OF MN MCNAMARA ALUMNI CENER
Practice Address - Street 2:KDWB UNIVERSITY PEDIATRICS FAMILY CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-4260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN37690208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN12-07807OtherMEDICA CHOICE
MT0056746Medicaid
MN12-09026OtherMEDICA PRIMARY
WI32452700Medicaid
ND10387Medicaid
MN08G19STOtherBLUE CROSS BLUE SHIELD
MN1017785OtherPREFERRED ONE
MN855214OtherARAZ
MNHP28862OtherHEALTH PARTNERS
MN123024OtherUCARE
SD7777470Medicaid
MN12-07807OtherMEDICA CHOICE
IA0509364Medicare ID - Type Unspecified