Individual
STEVEN R COUNSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01047736A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086838
ANTHEM
IN
05
—
200159720
—
IN
Enumeration date
04/26/2006
Last updated
11/04/2013
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