Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | $$$$$$$$$ | IN |
NPI | 1073688248 |
---|---|
Provider Name | Mr. Michael Frederick Steinberg |
First Address | South Bend, IN 46601 |
Second Address | South Bend, IN 46601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 26/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H87612 | (02) |