Basic Information
Provider Information
NPI: 1124348545
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: 2908 S LAMAR BLVD STE 200
Address2:  
City: OXFORD
State: MS
PostalCode: 386555375
CountryCode: US
TelephoneNumber: 6622365442
FaxNumber: 6622365295
Other Information
ProviderEnumerationDate: 06/08/2010
LastUpdateDate: 07/25/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: STEUER
AuthorizedOfficialFirstName: MICHAEL
AuthorizedOfficialMiddleName: EDWARD
AuthorizedOfficialTitleorPosition: PRESIDENT/CEO
AuthorizedOfficialTelephone: 9016246517
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X  Y193400000X SINGLE SPECIALTY GROUPOther Service ProvidersSpecialist 

No ID Information.


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