Provider Demographics
NPI: | 1962938233 |
---|---|
Name: | STRITTMATTER, MADELINE MARIA-FERNANDA (DO) |
Entity type: | Individual |
Prefix: | |
First Name: | MADELINE |
Middle Name: | MARIA-FERNANDA |
Last Name: | STRITTMATTER |
Suffix: | |
Gender: | F |
Credentials: | DO |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 920 MADISON AVE STE 447 |
Mailing Address - Street 2: | |
Mailing Address - City: | MEMPHIS |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 38103-3438 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 901-448-5737 |
Mailing Address - Fax: | 901-448-7836 |
Practice Address - Street 1: | 920 MADISON AVENUE SUITE 447 |
Practice Address - Street 2: | |
Practice Address - City: | MEMPHIS |
Practice Address - State: | TN |
Practice Address - Zip Code: | 38163-6707 |
Practice Address - Country: | US |
Practice Address - Phone: | 901-448-5737 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2017-05-05 |
Last Update Date: | 2025-04-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | OS16746 | 207R00000X, 207RP1001X |
390200000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
No | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |