Provider Demographics
NPI:1609954601
Name:OESTRIKE, NORMAN W (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:W
Last Name:OESTRIKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:760 WILLOW RIDGE COURT
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-7535
Mailing Address - Country:US
Mailing Address - Phone:317-838-9567
Mailing Address - Fax:317-838-9570
Practice Address - Street 1:760 WILLOW RIDGE COURT
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-7535
Practice Address - Country:US
Practice Address - Phone:317-838-9567
Practice Address - Fax:317-838-9570
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN010233802084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B28271Medicare UPIN