Individual
DOUGLAS MARK IKELHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
036136893
IL
2084P0800X
Psychiatry Physician
Primary
0101259575
VA
2084P0800X
Psychiatry Physician
036136893
IL
2084P0800X
Psychiatry Physician
40353
CO
2084P0800X
Psychiatry Physician
76822
WI
2084P0800X
Psychiatry Physician
C1-0011239
DE
2084P0800X
Psychiatry Physician
C163816
CA
2084P0800X
Psychiatry Physician
MD453478
PA
2084P0802X
Addiction Psychiatry Physician
0101259575
VA
2084P0802X
Addiction Psychiatry Physician
MD453478
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05722730
—
CO
Enumeration date
08/16/2006
Last updated
11/14/2025
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