Provider Demographics
NPI:1538399068
Name:STEINER, MICHAEL JOSEPH (IDMT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:STEINER
Suffix:
Gender:M
Credentials:IDMT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3458 NEELY ROAD
Mailing Address - Street 2:ROOM 1C15 ATTN: SMSGT STEINER
Mailing Address - City:MCGUIRE AFB
Mailing Address - State:NJ
Mailing Address - Zip Code:08641
Mailing Address - Country:US
Mailing Address - Phone:609-754-9552
Mailing Address - Fax:609-754-9042
Practice Address - Street 1:3458 NEELY ROAD
Practice Address - Street 2:ROOM 1C15 ATTN: SMSGT STEINER
Practice Address - City:MCGUIRE AFB
Practice Address - State:NJ
Practice Address - Zip Code:08641
Practice Address - Country:US
Practice Address - Phone:609-754-9552
Practice Address - Fax:609-754-9042
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians