Healthcare Provider Details
I. General information
NPI: 1114276052
Provider Name (Legal Business Name): MICHAEL E STEUER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2012
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2016 GREYSTONE SQUARE
JACKSON TN
38305-3575
US
IV. Provider business mailing address
1365 W BRIERBROOK RD
GERMANTOWN TN
38138-2208
US
V. Phone/Fax
- Phone: 731-664-1773
- Fax: 731-664-1751
- Phone: 901-624-6517
- Fax: 901-624-6521
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 35059 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHAEL
EDWARD
STEUER
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 901-624-6517