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NPI Code Detail

MEDICARE: EDWARD STEINBERGER LBSW

MEDICARE: EDWARD STEINBERGER LBSW
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
1104100000XSocial Worker6802083521MI

General Provider Information

NPI Number : 1285148221
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD STEINBERGER LBSW
Provider Business Mailing Address
First Line : 3111 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48208-2962
Country : US
Telephone Number : 313-557-8659
Fax Number :
Provider Business Practice Location Address
First Line : 3111 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48208-2962
Country : US
Telephone Number : 313-557-8659
Fax Number : 313-557-8659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2017
Last Update Date : 11/29/2017

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Directions to “ EDWARD STEINBERGER LBSW” Practice Location

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