Provider Demographics
NPI:1649379223
Name:STEVER, MICHAEL R (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:STEVER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1075 INDIAN SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3509
Mailing Address - Country:US
Mailing Address - Phone:724-349-9560
Mailing Address - Fax:724-349-7624
Practice Address - Street 1:1075 INDIAN SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3509
Practice Address - Country:US
Practice Address - Phone:724-349-9560
Practice Address - Fax:724-349-7624
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S 007092E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012303460003Medicaid
613680OtherHIGHMARK BLUE SHIELD
E65437Medicare UPIN
613680Medicare ID - Type Unspecified