Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 2336 | WI |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2336 | WI |
NPI | 1194856567 |
---|---|
Provider Name | Dr. Michael A Steck |
First Address | New Berlin, WI 53151-6882 |
Second Address | Wauwatosa, WI 53226-1409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 08/07/2007 |