Provider Demographics
NPI:1982228755
Name:PARIS, STEVEN MICHAEL (DO)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MICHAEL
Last Name:PARIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6920 POINTE INVERNESS WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-7934
Mailing Address - Country:US
Mailing Address - Phone:260-247-8420
Mailing Address - Fax:260-458-3624
Practice Address - Street 1:7980 W JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-4170
Practice Address - Country:US
Practice Address - Phone:260-478-4205
Practice Address - Fax:260-458-3624
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2023-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN02006462A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine