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1548257249

NPI Code Detail

MEDICARE: MR. STEVEN C MISZKIEWICZ MD

MEDICARE: MR. STEVEN C MISZKIEWICZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD14419	SC
2	207Q00000X	Family Medicine Physician	14419	SC
3	207Q00000X	Family Medicine Physician	4301512874	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548257249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN C MISZKIEWICZ MD

Provider Business Mailing Address
First Line	:	301 EXPLORER ST
Second Line	:
City	:	GWINN
State	:	MI
Zip	:	49841-2813
Country	:	US
Telephone Number	:	906-481-8586
Fax Number	:	906-265-4245

Provider Business Practice Location Address
First Line	:	1500 W ICE LAKE RD
Second Line	:
City	:	IRON RIVER
State	:	MI
Zip	:	49935-8509
Country	:	US
Telephone Number	:	906-265-5378
Fax Number	:	906-265-5378

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	10/13/2024

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Directions to “ MR. STEVEN C MISZKIEWICZ MD” Practice Location

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