Individual
MICHAEL D VAARDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1931 65TH AVE, STE A, GREELEY, CO 80634-7945
(970) 351-0900
(970) 351-0940
Mailing address
1931 65TH AVE, STE A, GREELEY, CO 80634-7945
(970) 351-0900
(970) 351-0940
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
596
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16254031
—
CO
Enumeration date
10/04/2005
Last updated
08/06/2008
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