Provider Demographics
NPI:1679564843
Name:BELEN, STEVEN D (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:BELEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 UNION ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-1987
Mailing Address - Country:US
Mailing Address - Phone:248-676-8889
Mailing Address - Fax:248-685-8039
Practice Address - Street 1:414 UNION ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1987
Practice Address - Country:US
Practice Address - Phone:248-676-8889
Practice Address - Fax:248-685-8039
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISB007230207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0656314454OtherBCBS OF MICHIGAN
MI111363342Medicaid
MIC6327OtherMCARE
MIC6327OtherMCARE
0F3600307Medicare ID - Type Unspecified