MEDICARE: DR. KYLE REECE VER STEEG II MD

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	208200000X	Plastic Surgery Physician	37506	IA

General Provider Information

NPI Number	:	1356494710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLE REECE VER STEEG II MD

Provider Business Mailing Address
First Line	:	4020 COPPER VW
Second Line	:	STE 122
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7041
Country	:	US
Telephone Number	:	231-943-1712
Fax Number	:	231-668-4038

Provider Business Practice Location Address
First Line	:	4020 COPPER VW STE 122
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7041
Country	:	US
Telephone Number	:	231-943-1712
Fax Number	:	231-668-4038

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

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	08/05/2021

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