Healthcare Provider Details

I. General information

NPI: 1205944212
Provider Name (Legal Business Name): KARIN ANN SIGDESTAD ROHLEDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIN ANN SIGDESTAD MD

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 09/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15132 E HAMPDEN AVE SUITE G
AURORA CO
80014-5072
US

IV. Provider business mailing address

3701 S BROADWAY
ENGLEWOOD CO
80113-3611
US

V. Phone/Fax

Practice location:
  • Phone: 303-762-6546
  • Fax: 303-762-6550
Mailing address:
  • Phone: 303-360-6276
  • Fax: 303-761-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0041854
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: