Provider Demographics
NPI:1740361237
Name:STEFFES, MICHAEL WILLIAMS (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:WILLIAMS
Last Name:STEFFES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-0622
Mailing Address - Fax:612-626-2696
Practice Address - Street 1:420 DELAWARE STREET SE
Practice Address - Street 2:ROOM 760 MAYO MEMORIAL BUILDING
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-626-0622
Practice Address - Fax:612-626-2696
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN20223207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN795370400Medicaid
MNHP22300OtherHEALTH PARTNERS
MN1009317OtherPREFERRED ONE
MN11-22554OtherMEDICA CHOICE
MN768364OtherARAZ
MN101371OtherUCARE
MN11-70017OtherMEDICA PRIMARY
MN2T231STOtherBLUE CROSS BLUE SHIELD
MNHP22300OtherHEALTH PARTNERS