Basic Information
| Provider Information | |||||||||
| NPI: | 1427111681 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STIEFEL | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | FRED | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 CAPITAL WAY STE 456 | ||||||||
| Address2: | |||||||||
| City: | PENNINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 085342521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095377300 | ||||||||
| FaxNumber: | 6095377301 | ||||||||
| Practice Location | |||||||||
| Address1: | 2001 PEACHTREE RD NE STE 575 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303091476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043500106 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2006 | ||||||||
| LastUpdateDate: | 04/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | MD423616 | PA | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | 84122 | GA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | 257848-1 | NY | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | 25MA08827200 | NJ | N | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.