Doctor Name: | WILLIAM F STREICKER |
NPI Number: | 1316944226 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101052398 |
Business Practice Address: | 1149 Seminole Trl Charlottesville, VA - 229012897 |
Business Phone Number: | 4349783998 |
Business Fax Number: | 4349735335 |
Mailing Address: | 1149 Seminole Trl, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229012897 |
Phone Number: | 4349783998 |
Fax Number: | 4349735335 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 06/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101052398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |