Individual
ALEXANDER ROBERT MIERAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8925 RIDGELINE BLVD STE 102, HIGHLANDS RANCH, CO 80129-2354
(720) 316-9974
Mailing address
415 ANGUS WAY, HIGHLANDS RANCH, CO 80129-6227
(720) 841-1170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10411567-8016
UT
225100000X
Physical Therapist
Primary
PTL0015719
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14052757
CAQH
CO
Enumeration date
07/20/2017
Last updated
10/30/2018
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