Provider Demographics
NPI:1376504373
Name:ISIDORE STEINER DPM PC
Entity Type:Organization
Organization Name:ISIDORE STEINER DPM PC
Other - Org Name:FAMILY FOOT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISIDORE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:517-548-3100
Mailing Address - Street 1:1221 BYRON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-1069
Mailing Address - Country:US
Mailing Address - Phone:517-548-3100
Mailing Address - Fax:517-548-4594
Practice Address - Street 1:1221 BYRON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-1069
Practice Address - Country:US
Practice Address - Phone:517-548-3100
Practice Address - Fax:517-548-4594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI480D710100OtherBCBSM GROUP
MI0509790001Medicare NSC
MI0067640Medicare PIN