MEDICARE: STEVEN ZEIDNER 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	2085R0001X	Radiation Oncology Physician	35038140	OH
2	2085R0001X	Radiation Oncology Physician	4301056146	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	920005077	OTHER	OH	RR MEDICARE
3	0N24000008	OTHER	MI	MEDICARE
6	920006285	OTHER	MI	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700882693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN ZEIDNER MD

Provider Business Mailing Address
First Line	:	3000 REGENCY CT
Second Line	:	STE 207
City	:	TOLEDO
State	:	OH
Zip	:	43623-3092
Country	:	US
Telephone Number	:	419-471-0493
Fax Number	:	419-474-0390

Provider Business Practice Location Address
First Line	:	3000 REGENCY CT
Second Line	:	STE 207
City	:	TOLEDO
State	:	OH
Zip	:	43623-3092
Country	:	US
Telephone Number	:	419-471-0493
Fax Number	:	419-474-0390

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	09/11/2012

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Directions to “ STEVEN ZEIDNER MD” Practice Location

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