Provider Demographics
NPI:1619242963
Name:STEVEN E STEIN MD PC
Entity Type:Organization
Organization Name:STEVEN E STEIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-643-7710
Mailing Address - Street 1:1579 W BIG BEAVER RD
Mailing Address - Street 2:SUITE B-7
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3504
Mailing Address - Country:US
Mailing Address - Phone:248-643-7710
Mailing Address - Fax:248-643-7731
Practice Address - Street 1:1579 W BIG BEAVER RD
Practice Address - Street 2:SUITE B-7
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3504
Practice Address - Country:US
Practice Address - Phone:248-643-7710
Practice Address - Fax:248-643-7731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISS407211208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4602598OtherCOFINITY
MIF18305Medicare UPIN
MI4602598OtherCOFINITY