Provider Demographics
NPI:1063624047
Name:RONALD L. STEURY, D. O., P. C.
Entity type:Organization
Organization Name:RONALD L. STEURY, D. O., P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEURY
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:989-291-3227
Mailing Address - Street 1:P. O. BOX 301
Mailing Address - Street 2:303 CONGRESS STREET
Mailing Address - City:SHERIDAN
Mailing Address - State:MI
Mailing Address - Zip Code:48884
Mailing Address - Country:US
Mailing Address - Phone:989-291-3227
Mailing Address - Fax:989-291-5359
Practice Address - Street 1:303 CONGRESS ST.
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:MI
Practice Address - Zip Code:48884
Practice Address - Country:US
Practice Address - Phone:989-291-3227
Practice Address - Fax:989-291-5359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101007192207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1099429Medicaid
MI1099429Medicaid