Healthcare Provider Details

I. General information

NPI: 1073688248
Provider Name (Legal Business Name): MICHAEL FREDERICK STEINBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 NO MICHIGAN STREET SUITE 501
SOUTH BEND IN
46601
US

IV. Provider business mailing address

707 NO MICHIGAN STREET SUITE 501
SOUTH BEND IN
46601
US

V. Phone/Fax

Practice location:
  • Phone: 574-237-0644
  • Fax: 574-234-6986
Mailing address:
  • Phone: 574-237-0644
  • Fax: 574-234-6986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: