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NPI Code Detail

MEDICARE: CHARLENE MARY DENNEMEYER DPM

MEDICARE: CHARLENE MARY DENNEMEYER DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPOD.0000917CO
2213ES0103XFoot & Ankle Surgery Podiatrist180WY

General Provider Information

NPI Number : 1366006173
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLENE MARY DENNEMEYER DPM
Provider Business Mailing Address
First Line : 2001 S SHIELDS ST STE F
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1833
Country : US
Telephone Number : 970-493-4660
Fax Number : 970-493-6710
Provider Business Practice Location Address
First Line : 2001 S SHIELDS ST STE F
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1833
Country : US
Telephone Number : 970-493-4660
Fax Number : 970-493-6710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2019
Last Update Date : 09/04/2025

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