Healthcare Provider Details

I. General information

NPI: 1174498562
Provider Name (Legal Business Name): MICHAEL STEINFADT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 E FRANKLIN AVE
MINNEAPOLIS MN
55404-2923
US

IV. Provider business mailing address

1213 E FRANKLIN AVE
MINNEAPOLIS MN
55404-2923
US

V. Phone/Fax

Practice location:
  • Phone: 612-872-8086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number2381057
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: