Healthcare Provider Details

I. General information

NPI: 1154335321
Provider Name (Legal Business Name): WALTER DENNIS STEINKE D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 12/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 N DECATUR ST
STRASBURG PA
17579-1423
US

IV. Provider business mailing address

241 N DECATUR ST
STRASBURG PA
17579-1423
US

V. Phone/Fax

Practice location:
  • Phone: 717-687-7534
  • Fax: 717-687-0341
Mailing address:
  • Phone: 717-687-7534
  • Fax: 717-687-0341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0S006099L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: