Provider Demographics
NPI:1700804655
Name:STRUYK, CURTIS D (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:D
Last Name:STRUYK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 WEALTHY ST SE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-2969
Mailing Address - Country:US
Mailing Address - Phone:616-774-0700
Mailing Address - Fax:616-774-0651
Practice Address - Street 1:1900 WEALTHY ST SE
Practice Address - Street 2:SUITE 330
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-2969
Practice Address - Country:US
Practice Address - Phone:616-774-0700
Practice Address - Fax:616-774-0651
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICS030612174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1270056Medicaid
MIB 47293Medicare UPIN
MI1270056Medicaid