Provider Demographics
NPI:1730391913
Name:STEINHAUS, DAVID MICHAEL (M D)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MICHAEL
Last Name:STEINHAUS
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PARK AVE
Mailing Address - Street 2:#404
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1172
Mailing Address - Country:US
Mailing Address - Phone:763-514-3577
Mailing Address - Fax:
Practice Address - Street 1:200 PARK AVE
Practice Address - Street 2:#404
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1172
Practice Address - Country:US
Practice Address - Phone:763-514-3577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0426133207RC0001X
MOR8D46207RC0001X
MN48321207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B97516Medicare UPIN
0906589AMedicare ID - Type Unspecified