Provider Demographics
NPI:1154335321
Name:STEINKE, WALTER DENNIS (DO)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:DENNIS
Last Name:STEINKE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 N DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17579-1423
Mailing Address - Country:US
Mailing Address - Phone:717-687-7534
Mailing Address - Fax:717-687-0341
Practice Address - Street 1:241 N DECATUR ST
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579-1423
Practice Address - Country:US
Practice Address - Phone:717-687-7534
Practice Address - Fax:717-687-0341
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S006099L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1085595Medicaid
PA138587Medicare ID - Type Unspecified
C31475Medicare UPIN