Provider Demographics
NPI:1316203995
Name:STRICSEK, GEOFFREY PAUL (MD)
Entity type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:PAUL
Last Name:STRICSEK
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 1:2800 ASHTON DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-2575
Mailing Address - Country:US
Mailing Address - Phone:910-799-2262
Mailing Address - Fax:910-799-2943
Practice Address - Street 1:2800 ASHTON DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-2575
Practice Address - Country:US
Practice Address - Phone:910-799-2262
Practice Address - Fax:910-799-2943
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-08
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036152634207T00000X
NC2023-03193207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery