Individual
CAROL M VON MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14000 E ARAPAHOE RD, #300, CENTENNIAL, CO 80112-4028
(720) 979-0840
(303) 861-4741
Mailing address
720 S COLORADO BLVD, #220A, GLENDALE, CO 80246-1912
(720) 979-0840
(303) 861-4741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2626
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12987271
—
CO
Enumeration date
08/08/2008
Last updated
06/14/2011
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