Individual
DR. CHARLES MICHAEL LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0056642
CO
208M00000X
Hospitalist Physician
Primary
DR.0056642
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028848
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/18/2013
Last updated
06/23/2021
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