Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | RL17429 | ND |
Y | 208600000X | Surgeon | RL17429 | ND |
NPI | 1003483934 |
---|---|
Provider Name | Dre Steinwehr |
First Address | Grand Forks, ND 58202-9037 |
Second Address | Grand Forks, ND 58202-9037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2021 |
Last Update Date | 09/06/2021 |