Provider Demographics
NPI:1801052907
Name:STREICHER, ERIC (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:STREICHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 ALLEN BLVD STE 300
Mailing Address - Street 2:DEAN FOUNDATION - BSP - FREE CLINIC
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-2287
Mailing Address - Country:US
Mailing Address - Phone:608-827-2300
Mailing Address - Fax:608-827-2399
Practice Address - Street 1:2711 ALLEN BLVD STE 300
Practice Address - Street 2:DEAN FOUNDATION
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-2287
Practice Address - Country:US
Practice Address - Phone:608-827-2308
Practice Address - Fax:608-827-2344
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI22083-020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine