Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301049112 | MI |
Y | 2081S0010X | Sports Medicine | SH049112 | MI |
Y | 213ES0000X | Sports Medicine | SH049112 | MI |
NPI | 1053301119 |
---|---|
Provider Name | Dr. Steven Charles Harwood |
First Address | Ypsilanti, MI 48197-1014 |
Second Address | Ypsilanti, MI 48197-1014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 25/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250008073 | RAILROAD MEDICARE (01) | MI |
250110020 | BCBS OF MICHIGAN (01) | MI |
2713436 | (05) | MI |
D90174 | (02) | MI |