Individual
DR. JEFFREY GERARD MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
05-28654
KS
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
108841
MO
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
63281
CO
Other
Enumeration date
05/12/2006
Last updated
01/29/2020
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