MEDICARE: STACE ANN FRITZLER MD

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
1	207Q00000X	Family Medicine Physician	36551	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912099599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACE ANN FRITZLER MD

Provider Business Mailing Address
First Line	:	4601 S MASON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3740
Country	:	US
Telephone Number	:	970-266-3600
Fax Number	:	970-266-3629

Provider Business Practice Location Address
First Line	:	4601 S MASON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3740
Country	:	US
Telephone Number	:	970-266-3600
Fax Number	:	970-266-3629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	08/05/2025

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Directions to “ STACE ANN FRITZLER MD” Practice Location

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