Healthcare Provider Details

I. General information

NPI: 1811085616
Provider Name (Legal Business Name): MICHAEL N STEINBOOK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 20TH ST
COLUMBUS GA
31901-1643
US

IV. Provider business mailing address

1117 20TH ST
COLUMBUS GA
31901-1643
US

V. Phone/Fax

Practice location:
  • Phone: 706-324-6365
  • Fax: 706-324-7295
Mailing address:
  • Phone: 706-324-6365
  • Fax: 706-324-7295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number26661
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: