Provider Demographics
NPI:1427803964
Name:STREJCEK, ARTHUR W
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:W
Last Name:STREJCEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3370 N STEPHENS RD
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN
Mailing Address - State:MI
Mailing Address - Zip Code:49410-9788
Mailing Address - Country:US
Mailing Address - Phone:231-923-8473
Mailing Address - Fax:
Practice Address - Street 1:3370 N STEPHENS RD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN
Practice Address - State:MI
Practice Address - Zip Code:49410-9788
Practice Address - Country:US
Practice Address - Phone:231-923-8473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care