Provider Demographics
NPI:1316936958
Name:STRECKER, MICHELLE N (MS, CGC)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:N
Last Name:STRECKER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 GODDARD STE 150
Mailing Address - Street 2:COMBIMATRIX DIAGNOSTICS
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4617
Mailing Address - Country:US
Mailing Address - Phone:510-479-7273
Mailing Address - Fax:510-578-1143
Practice Address - Street 1:310 GODDARD STE 150
Practice Address - Street 2:COMBIMATRIX DIAGNOSTICS
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4617
Practice Address - Country:US
Practice Address - Phone:510-479-7273
Practice Address - Fax:510-578-1143
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS