Provider Demographics
NPI:1538453667
Name:STEEHLER, MARK WILLIAM (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:WILLIAM
Last Name:STEEHLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 UNIVERSITY BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-8659
Mailing Address - Country:US
Mailing Address - Phone:407-677-0099
Mailing Address - Fax:
Practice Address - Street 1:7251 UNIVERSITY BLVD STE 300
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-8659
Practice Address - Country:US
Practice Address - Phone:407-677-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS14977207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000941985001OtherBLUECROSS BLUESHIELD OF WNY
NY04495112Medicaid
NY284191OtherNY LICENSE
NYJ400322551Medicare PIN