Individual
CAROLINE M GELLRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9830 I-70 FRONTAGE RD SOUTH, WHEAT RIDGE, CO 80033
(303) 467-4100
(303) 420-0836
Mailing address
DEPT 557, DENVER, CO 80291-0557
(303) 467-4155
(303) 467-4156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21414
CO
207QA0401X
Addiction Medicine (Family Medicine) Physician
21414
CO
2083X0100X
Occupational Medicine Physician
Primary
21414
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01214147
—
CO
01
—
080114815
MEDICARE RAILROAD
—
Enumeration date
06/08/2006
Last updated
09/30/2009
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