Basic Information
Provider Information
NPI: 1376545913
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEIGERWALT
FirstName: SUSAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 700 KMS PLACE
Address2:  
City: ANN ARBOR
State: MI
PostalCode: 48108
CountryCode: US
TelephoneNumber: 7349362047
FaxNumber:  
Practice Location
Address1: 1500 EAST MEDICAL CENTER DRIVE
Address2: 3RD FLOOR CARDIOVASCULAR CENTER
City: ANN ARBOR
State: MI
PostalCode: 481095856
CountryCode: US
TelephoneNumber: 8882871082
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/12/2005
LastUpdateDate: 12/11/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X4301041075MIN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RH0005X4301041075MIN Allopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist
207R00000X4301041075MIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RN0300X4301041075MIY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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