Healthcare Provider Details

I. General information

NPI: 1043498744
Provider Name (Legal Business Name): RICHARD STEINMETZ DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 MAIN ST STE 2
WESTBROOK ME
04092-2847
US

IV. Provider business mailing address

846 MAIN ST STE 2
WESTBROOK ME
04092-2847
US

V. Phone/Fax

Practice location:
  • Phone: 207-854-0300
  • Fax: 207-856-2807
Mailing address:
  • Phone: 207-854-0300
  • Fax: 207-856-2807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPOD167
License Number StateME

VIII. Authorized Official

Name: MICHELE MCCABE
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 207-854-0300