Provider Demographics
NPI:1679543979
Name:ADORN, STEVEN F (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:ADORN
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:PO BOX 1173
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-1173
Mailing Address - Country:US
Mailing Address - Phone:714-264-1083
Mailing Address - Fax:
Practice Address - Street 1:1600 MAXWELL DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-8703
Practice Address - Country:US
Practice Address - Phone:715-386-7622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33049207Q00000X, 208100000X
MN33469207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation