Provider Demographics
NPI:1538499918
Name:STEINMETZ, DOUGLAS WAYNE
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:WAYNE
Last Name:STEINMETZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USS ASHLAND LSD 48
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09564-1736
Mailing Address - Country:US
Mailing Address - Phone:757-462-7130
Mailing Address - Fax:
Practice Address - Street 1:USS ASHLAND LSD 48
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09564-1736
Practice Address - Country:US
Practice Address - Phone:757-462-7130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant