Provider Demographics
NPI:1780809947
Name:STRECK, CHRISTIAN JOHN JR (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:JOHN
Last Name:STRECK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:96 JONATHAN LUCAS ST
Mailing Address - Street 2:SUITE 418 CSB MSC 613
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-8900
Mailing Address - Country:US
Mailing Address - Phone:843-792-3851
Mailing Address - Fax:
Practice Address - Street 1:96 JONATHAN LUCAS ST
Practice Address - Street 2:SUITE 418 CSB MSC 613
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8900
Practice Address - Country:US
Practice Address - Phone:843-792-3851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2020-10-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCTL 310632086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery