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NPI Code Detail

MEDICARE: MATTHEW J STEEL PA

MEDICARE: MATTHEW J STEEL PA
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
1363A00000XPhysician Assistant003791MI

General Provider Information

NPI Number : 1376571182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW J STEEL PA
Provider Business Mailing Address
First Line : 520 COBB ST
Second Line :
City : CADILLAC
State : MI
Zip : 49601-2588
Country : US
Telephone Number : 231-876-6527
Fax Number : 231-876-6519
Provider Business Practice Location Address
First Line : 525 4TH ST
Second Line :
City : BALDWIN
State : MI
Zip : 49304-9518
Country : US
Telephone Number : 231-745-3116
Fax Number : 231-745-3136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 10/19/2021

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Directions to “ MATTHEW J STEEL PA” Practice Location

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