Healthcare Provider Details
I. General information
NPI: 1669866240
Provider Name (Legal Business Name): MICHAEL STEINHAUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/23/2015
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5911 S FASHION BLVD STE 200
MURRAY UT
84107-7210
US
IV. Provider business mailing address
5911 S FASHION BLVD STE 200
MURRAY UT
84107-7210
US
V. Phone/Fax
- Phone: 801-314-2225
- Fax:
- Phone: 385-541-2225
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | 12213470-1205 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: