Provider Demographics
NPI:1003264300
Name:MEEKS, STEVEN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:MEEKS
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9016
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:415 S LANDMARK AVE
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-5003
Practice Address - Country:US
Practice Address - Phone:812-558-0612
Practice Address - Fax:812-333-7435
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2016-07-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant