Provider Demographics
NPI:1740254697
Name:STRINGER, BRENDA S (MD)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:S
Last Name:STRINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5187 MAYFIELD ROAD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124
Mailing Address - Country:US
Mailing Address - Phone:440-461-0220
Mailing Address - Fax:440-646-2703
Practice Address - Street 1:5187 MAYFIELD ROAD
Practice Address - Street 2:SUITE 105
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124
Practice Address - Country:US
Practice Address - Phone:440-461-0220
Practice Address - Fax:440-646-2703
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35059015207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0833147Medicaid
E54690Medicare UPIN
OHST0674517Medicare ID - Type Unspecified