Provider Demographics
NPI:1619196391
Name:STEURY, MONICA LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:LEE
Last Name:STEURY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 CONGRESS ST.
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:MI
Mailing Address - Zip Code:48884
Mailing Address - Country:US
Mailing Address - Phone:989-291-5077
Mailing Address - Fax:989-291-5348
Practice Address - Street 1:303 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:MI
Practice Address - Zip Code:48884
Practice Address - Country:US
Practice Address - Phone:989-291-5077
Practice Address - Fax:989-291-5348
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMS016637OtherBLUE CROSS
MIMS016637OtherBLUE CROSS