Provider Demographics
NPI:1609944396
Name:PORTNEY, STEVEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:PORTNEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:22250 PROVIDENCE DR
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-6210
Mailing Address - Country:US
Mailing Address - Phone:248-552-0242
Mailing Address - Fax:248-552-8418
Practice Address - Street 1:22250 PROVIDENCE DR
Practice Address - Street 2:SUITE #200
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-6210
Practice Address - Country:US
Practice Address - Phone:248-552-0242
Practice Address - Fax:248-552-8418
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-10-03
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Provider Licenses
StateLicense IDTaxonomies
MNSP057396207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE80769Medicare UPIN