Provider Demographics
NPI:1053496554
Name:BINDER, STEVEN R (DPM)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:BINDER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1701 BALDWIN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-3412
Mailing Address - Country:US
Mailing Address - Phone:248-338-3668
Mailing Address - Fax:248-338-0136
Practice Address - Street 1:1701 BALDWIN AVE
Practice Address - Street 2:B
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-3412
Practice Address - Country:US
Practice Address - Phone:248-338-3668
Practice Address - Fax:248-338-0136
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5901001138213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1536220Medicaid
MI5630125OtherBCBS
MI480015203Medicare PIN
MI5630125OtherBCBS
MI5635110Medicare PIN
MIT34152Medicare UPIN