MEDICARE: DANIEL L STEIDL 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	207R00000X	Internal Medicine Physician	35049293	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0539493	OTHER	OH	MEDICARE ID

Other Identifiers

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

General Provider Information

NPI Number	:	1588635270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL L STEIDL MD

Provider Business Mailing Address
First Line	:	600 PORTAGE TRL STE D
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-3055
Country	:	US
Telephone Number	:	330-928-4427
Fax Number	:	330-928-9957

Provider Business Practice Location Address
First Line	:	600 PORTAGE TRL STE D
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-3055
Country	:	US
Telephone Number	:	330-928-4427
Fax Number	:	330-928-9957

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	01/12/2012

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