Doctor Name: | DR. DWAYNE CHRISTOPHER STEELE |
NPI Number: | 1518294016 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 57650 |
Business Practice Address: | 11346 84th Pl N Maple Grove, MN - 553693067 |
Business Phone Number: | 7634961006 |
Business Fax Number: | |
Mailing Address: | 11346 84th Pl N, MAPLE GROVE |
State: | MN |
Postal Code: | 553693067 |
Phone Number: | 7634961006 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2009 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 57650 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |