Basic Information
Provider Information
NPI: 1891370227
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINBRUECK
FirstName: EMILY
MiddleName: IRENE
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: EMERGENCY PHYSICIANS, P.A.
Address2: 4300 MARKET POINTE DRIVE SUITE 100
City: BLOOMINGTON
State: MN
PostalCode: 554355435
CountryCode: US
TelephoneNumber: 9528359880
FaxNumber: 9528571554
Practice Location
Address1: EMERGENCY PHYSICIANS, P.A.
Address2: 4300 MARKET POINTE DRIVE, SUITE 100
City: BLOOMINGTON
State: MN
PostalCode: 554355435
CountryCode: US
TelephoneNumber: 9528359880
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/17/2021
LastUpdateDate: 06/30/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X13810MNY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363AM0700X  N Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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