MEDICARE: STEVEN R BINDER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	5901001138	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5630125	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1053496554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN R BINDER DPM

Provider Business Mailing Address
First Line	:	1701 BALDWIN AVE
Second Line	:	SUITE B
City	:	PONTIAC
State	:	MI
Zip	:	48340-3412
Country	:	US
Telephone Number	:	248-338-3668
Fax Number	:	248-338-0136

Provider Business Practice Location Address
First Line	:	1701 BALDWIN AVE
Second Line	:	B
City	:	PONTIAC
State	:	MI
Zip	:	48340-3412
Country	:	US
Telephone Number	:	248-338-3668
Fax Number	:	248-338-0136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	08/21/2009

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Directions to “ STEVEN R BINDER DPM” Practice Location

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