Provider Demographics
NPI:1184636912
Name:NEIRINK, STEVEN JON (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JON
Last Name:NEIRINK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 S GENESEE RD
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48519-1420
Mailing Address - Country:US
Mailing Address - Phone:810-715-2500
Mailing Address - Fax:810-715-2524
Practice Address - Street 1:3014 S GENESEE RD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48519-1420
Practice Address - Country:US
Practice Address - Phone:810-715-2500
Practice Address - Fax:810-715-2524
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISN001846213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist