Healthcare Provider Details
I. General information
NPI: 1982716536
Provider Name (Legal Business Name): STEPHEN R STEINMETZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 02/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2700 10TH AVE S STE 510
BIRMINGHAM AL
35205-1250
US
IV. Provider business mailing address
2700 10TH AVE S STE 510
BIRMINGHAM AL
35205-1250
US
V. Phone/Fax
- Phone: 205-930-0980
- Fax: 205-986-0081
- Phone: 205-930-0980
- Fax: 205-986-0081
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208200000X |
| Taxonomy | Plastic Surgery Physician |
| License Number | 16077 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: