Individual
KARA LYNN MICETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2457 IOWA DR, FORT COLLINS, CO 80525-4709
(970) 481-4435
Mailing address
2457 IOWA DR, FORT COLLINS, CO 80525-4709
(970) 481-4435
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36904
CO
Other
Enumeration date
02/14/2006
Last updated
09/08/2023
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