Provider Demographics
NPI:1033320049
Name:STECK, ANN MARIE (MD)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MARIE
Last Name:STECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6696 US HIGHWAY 20A
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:OH
Mailing Address - Zip Code:43515
Mailing Address - Country:US
Mailing Address - Phone:419-882-3242
Mailing Address - Fax:419-822-9008
Practice Address - Street 1:6696 US HIGHWAY 20A
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:OH
Practice Address - Zip Code:43515
Practice Address - Country:US
Practice Address - Phone:419-822-3242
Practice Address - Fax:419-822-9008
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57012155207Q00000X
OH35-091081207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3004500Medicaid
OH4262531Medicare PIN