Provider Demographics
NPI:1073589446
Name:RAPP, STEVEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:RAPP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5220 HIGHLAND RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1913
Mailing Address - Country:US
Mailing Address - Phone:248-383-1030
Mailing Address - Fax:248-383-1031
Practice Address - Street 1:5220 HIGHLAND RD
Practice Address - Street 2:SUITE 210
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1913
Practice Address - Country:US
Practice Address - Phone:248-383-1030
Practice Address - Fax:248-383-1031
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2008-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MISR038657207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3186514Medicaid
MI1406338431OtherBCBSM
MIA75357Medicare UPIN
MI0M99600001Medicare PIN