Healthcare Provider Details

I. General information

NPI: 1740361237
Provider Name (Legal Business Name): MICHAEL WILLIAMS STEFFES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 DELAWARE STREET SE ROOM 760 MAYO MEMORIAL BUILDING
MINNEAPOLIS MN
55455
US

IV. Provider business mailing address

420 DELAWARE STREET SE UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS MN
55455
US

V. Phone/Fax

Practice location:
  • Phone: 612-626-0622
  • Fax: 612-626-2696
Mailing address:
  • Phone: 612-626-0622
  • Fax: 612-626-2696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number20223
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: