Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 47284 | MN |
Y | 2080P0210X | Pediatric Nephrologist | 4301093421 | MI |
N | 2080P0210X | Pediatric Nephrologist | 47284 | MN |
NPI | 1083622807 |
---|---|
Provider Name | Julia Mary Steinke |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Grand Rapids, MI 49503-2514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 02/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083622807 | (05) | MI |
350D176310 | BCBS GROUP (01) | MI |