Individual
DR. MICHELE M CHETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2506
(303) 789-4968
(303) 789-6018
Mailing address
180 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2506
(303) 789-4968
(303) 789-6018
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31736
CO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
31736
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007828
KAISER COMMERCIAL NUMBER
CO
05
—
01317361
—
CO
05
—
122626600
—
WY
Enumeration date
11/29/2005
Last updated
04/11/2023
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