Provider Demographics
NPI:1982697991
Name:HARRINGTON, STEVEN DALE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DALE
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:38800 GARFIELD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6618
Mailing Address - Country:US
Mailing Address - Phone:586-286-6900
Mailing Address - Fax:586-286-6960
Practice Address - Street 1:38800 GARFIELD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-6618
Practice Address - Country:US
Practice Address - Phone:586-286-6900
Practice Address - Fax:586-286-6960
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI04340208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4584857Medicaid
MIA77053Medicare UPIN
MI4584857Medicaid