Thaddeus P. Srutwa, M.D.
Physical Medicine & Rehabilitation in Grand Haven, MI. Individual provider (NPI-1).
NPI number1366489635
StatusActive
Last updated in NPPESAug 5, 2021
Details
- NPI
- 1366489635
- Entity type
- Individual (NPI-1)
- Name
- Thaddeus P. Srutwa
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2006
- Certification date
- Aug 5, 2021
- Last updated
- Aug 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 4301045353 | MI | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | 4301045363 | MI | |
| 208VP0000X | 4301045353 | MI |
Practice location
16986 Robbins Rd Ste 180Grand Haven, MI 49417-2795
Phone 616-213-0253 · Fax 616-296-2423
Mailing address
16986 Robbins Rd Ste 180Grand Haven, MI 49417-2795
Phone 616-229-3295 · Fax 616-229-3295
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All 6 Physical Medicine & Rehabilitation Physician providers in Grand Haven · All 892 providers in Grand Haven
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