Basic Information
| Provider Information | |||||||||
| NPI: | 1073652160 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MICHAEL E STEUER MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 122 AIRWAYS PL | ||||||||
| Address2: | |||||||||
| City: | SOUTHAVEN | ||||||||
| State: | MS | ||||||||
| PostalCode: | 386715872 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6623499990 | ||||||||
| FaxNumber: | 6623492620 | ||||||||
| Practice Location | |||||||||
| Address1: | 122 AIRWAYS PL | ||||||||
| Address2: | |||||||||
| City: | SOUTHAVEN | ||||||||
| State: | MS | ||||||||
| PostalCode: | 386715872 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6623499990 | ||||||||
| FaxNumber: | 6623492620 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2007 | ||||||||
| LastUpdateDate: | 09/08/2011 | ||||||||
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| AuthorizedOfficialLastName: | STEUER | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | EDWARD | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6623499990 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208VP0014X | 15385 | MS | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.