Basic Information
| Provider Information | |||||||||
| NPI: | 1154554970 | ||||||||
| 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: | 1150 US HIGHWAY 51 BYP W | ||||||||
| Address2: | SUITE B | ||||||||
| City: | DYERSBURG | ||||||||
| State: | TN | ||||||||
| PostalCode: | 380241888 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7312880428 | ||||||||
| FaxNumber: | 7312880427 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2009 | ||||||||
| LastUpdateDate: | 08/25/2010 | ||||||||
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| AuthorizedOfficialLastName: | GROOMS | ||||||||
| AuthorizedOfficialFirstName: | JOY | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | CREDENTIALING SPECIALIST | ||||||||
| AuthorizedOfficialTelephone: | 6623499990 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MISS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 35059 | TN | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.