Individual
DR. ROBERT TODD MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1211 LUTHER STREET, EADS, CO 80136
(719) 438-2251
(719) 438-2254
Mailing address
6125 HABITAT DR APT 1082, BOULDER, CO 80301-3227
(303) 818-8859
(719) 438-2254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34288
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64022056
—
CO
Enumeration date
05/04/2007
Last updated
07/08/2007
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