Healthcare Provider Details

I. General information

NPI: 1639234818
Provider Name (Legal Business Name): GEORGE J JUETERSONKE DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 AMERICAN DRIVE
COLORADO SPRINGS CO
80917
US

IV. Provider business mailing address

3525 AMERICAN DRIVE
COLORADO SPRINGS CO
80917
US

V. Phone/Fax

Practice location:
  • Phone: 719-597-6075
  • Fax: 719-573-6529
Mailing address:
  • Phone: 719-597-6075
  • Fax: 719-573-6529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: GEORGE J JUETERSONKE
Title or Position: PRESIDENT
Credential: DO
Phone: 719-597-6075