Provider Demographics
NPI:1700880374
Name:STEFFENS, BRUCE C (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:C
Last Name:STEFFENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7111 36TH AVENUE A CT
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-8043
Mailing Address - Country:US
Mailing Address - Phone:309-765-1355
Mailing Address - Fax:309-792-4171
Practice Address - Street 1:7111 36TH AVENUE A CT
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-8043
Practice Address - Country:US
Practice Address - Phone:309-765-1355
Practice Address - Fax:309-792-4171
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine