MEDICARE: DR. STEVEN K. BRANCH M.D., PH.D.

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	208600000X	Surgery Physician	221276	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1922096551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN K. BRANCH M.D., PH.D.

Provider Business Mailing Address
First Line	:	295 MAPLE ST STE 200
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48763-9352
Country	:	US
Telephone Number	:	989-984-3788
Fax Number	:	989-984-3794

Provider Business Practice Location Address
First Line	:	100 HOSPITAL LN STE 120
Second Line	:
City	:	DANVILLE
State	:	IN
Zip	:	46122-1993
Country	:	US
Telephone Number	:	317-745-7310
Fax Number	:

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	02/27/2024

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Directions to “ DR. STEVEN K. BRANCH M.D., PH.D.” Practice Location

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