Individual
MICHELLE LYNN TOLLEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1107 S LEMAY AVE STE 100, FORT COLLINS, CO 80524-3955
(970) 495-8400
Mailing address
1107 S LEMAY AVE STE 100, FORT COLLINS, CO 80524-3955
(970) 495-8400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44342
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38277051
—
CO
Enumeration date
05/04/2006
Last updated
05/26/2009
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