| Doctor Name: | MICHAEL H STROUD |
| NPI Number: | 1588632343 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 124511 |
| Business Practice Address: | 5001 Lake Ave St Joseph, MO - 645041170 |
| Business Phone Number: | 8162387788 |
| Business Fax Number: | 8162389285 |
| Mailing Address: | 5001 Lake Ave, ST JOSEPH |
| State: | MO |
| Postal Code: | 645041170 |
| Phone Number: | 8162387788 |
| Fax Number: | 8162389285 |
| NPI Enumeration Date: | 03/09/2006 |
| NPI Last Update Date: | 06/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 124511 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |