Individual
MICHAEL D WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
12911 W 40TH AVE, WHEAT RIDGE, CO 80401
(303) 425-4500
Mailing address
PO BOX 173656, DENVER, CO 80217-3656
(303) 425-4500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41459
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63455064
—
CO
Enumeration date
12/15/2005
Last updated
06/05/2025
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