Provider Demographics
NPI:1003933714
Name:STEVEN R PAPP DO PC
Entity Type:Organization
Organization Name:STEVEN R PAPP DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-675-8113
Mailing Address - Street 1:3231 WEST RD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-2399
Mailing Address - Country:US
Mailing Address - Phone:734-675-8113
Mailing Address - Fax:
Practice Address - Street 1:3231 WEST RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-2399
Practice Address - Country:US
Practice Address - Phone:734-675-8113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISP011304208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI340H233270OtherBCBS OF MICHIGAN
MI0M50490Medicare PIN
MIG58858Medicare UPIN
MIG58858Medicare UPIN
MI125257OtherCARE CHOICES