Healthcare Provider Details

I. General information

NPI: 1851334858
Provider Name (Legal Business Name): STEVEN M HILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 S 4TH ST SUITE 401
GRAND FORKS ND
58201-4715
US

IV. Provider business mailing address

151 S 4TH ST SUITE 401
GRAND FORKS ND
58201-4715
US

V. Phone/Fax

Practice location:
  • Phone: 701-795-3000
  • Fax: 701-795-3084
Mailing address:
  • Phone: 701-795-3000
  • Fax: 701-795-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number6248
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: