Provider Demographics
NPI:1982617627
Name:STRUMBA, ANNA G (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:G
Last Name:STRUMBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:46325 W 12 MILE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2462
Mailing Address - Country:US
Mailing Address - Phone:248-596-1000
Mailing Address - Fax:248-305-8250
Practice Address - Street 1:46325 W 12 MILE RD STE 240
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2462
Practice Address - Country:US
Practice Address - Phone:248-596-1000
Practice Address - Fax:248-305-8250
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301074811208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2593409Medicaid
H79920Medicare UPIN