Individual
MICHELLE WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
40740
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
40740
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66322863
—
CO
Enumeration date
10/09/2006
Last updated
05/16/2016
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