Provider Demographics
NPI:1457385742
Name:STROUP, CHEREEN M (MD)
Entity Type:Individual
Prefix:
First Name:CHEREEN
Middle Name:M
Last Name:STROUP
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:621 S ILLINOIS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-5489
Mailing Address - Country:US
Mailing Address - Phone:641-494-3041
Mailing Address - Fax:641-494-3059
Practice Address - Street 1:621 S ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-5405
Practice Address - Country:US
Practice Address - Phone:641-428-6900
Practice Address - Fax:641-428-6901
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2021-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAR-7003207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI10282Medicare UPIN