MEDICARE: MR. MICHAEL F STEIN

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	183500000X	Pharmacist	17382	IA

General Provider Information

NPI Number	:	1366449266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL F STEIN

Provider Business Mailing Address
First Line	:	PO BOX 563
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52244-0563
Country	:	US
Telephone Number	:	319-936-6076
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 BARRINGTON RD
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9235
Country	:	US
Telephone Number	:	319-936-6076
Fax Number	:

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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