Individual
DR. JON H STEUERNAGLE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 720-8699
Mailing address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52088
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
52088
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D75862
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0658367 60
—
MD
05
—
ENROLLED
—
MN
Enumeration date
10/01/2008
Last updated
07/25/2016
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