Provider Demographics
NPI:1396273439
Name:STEINKE, LAURA (CCAR)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:STEINKE
Suffix:
Gender:F
Credentials:CCAR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 W FERRY ST APT 7A
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103-1175
Mailing Address - Country:US
Mailing Address - Phone:269-605-3941
Mailing Address - Fax:
Practice Address - Street 1:6418 DEANS HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:BERRIEN CENTER
Practice Address - State:MI
Practice Address - Zip Code:49102-8714
Practice Address - Country:US
Practice Address - Phone:269-815-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist