Basic Information
Provider Information
NPI: 1114276052
EntityType: 2
ReplacementNPI:  
OrganizationName: MICHAEL E STEUER MD PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1365 W BRIERBROOK RD
Address2:  
City: GERMANTOWN
State: TN
PostalCode: 381382208
CountryCode: US
TelephoneNumber: 9016246517
FaxNumber: 9016246521
Practice Location
Address1: 2016 GREYSTONE SQUARE
Address2:  
City: JACKSON
State: TN
PostalCode: 383053575
CountryCode: US
TelephoneNumber: 7316641773
FaxNumber: 7316641751
Other Information
ProviderEnumerationDate: 09/06/2012
LastUpdateDate: 04/25/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: STEUER
AuthorizedOfficialFirstName: MICHAEL
AuthorizedOfficialMiddleName: EDWARD
AuthorizedOfficialTitleorPosition: OWNER/PRESIDENT
AuthorizedOfficialTelephone: 9016246517
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000X  N SuppliersDurable Medical Equipment & Medical Supplies 
174400000X35059TNY193400000X SINGLE SPECIALTY GROUPOther Service ProvidersSpecialist 

No ID Information.


Home