Provider Demographics
NPI:1427156033
Name:STEURNAGEL, JOSEPH FREDERICK (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FREDERICK
Last Name:STEURNAGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ADRIAN ST
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:OH
Mailing Address - Zip Code:43515-1117
Mailing Address - Country:US
Mailing Address - Phone:419-822-3771
Mailing Address - Fax:419-822-3759
Practice Address - Street 1:101 ADRIAN ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:OH
Practice Address - Zip Code:43515-1117
Practice Address - Country:US
Practice Address - Phone:419-822-3771
Practice Address - Fax:419-822-3759
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2010-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH039419207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0324170Medicaid
OH0431134Medicare ID - Type Unspecified
OH0324170Medicaid