Healthcare Provider Details

I. General information

NPI: 1396707501
Provider Name (Legal Business Name): ROBERT WILLIAM STETTLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE SUITE 5050
DENVER CO
80218-1216
US

IV. Provider business mailing address

1601 E 19TH AVE SUITE 5050
DENVER CO
80218-1216
US

V. Phone/Fax

Practice location:
  • Phone: 303-860-9990
  • Fax:
Mailing address:
  • Phone: 303-860-9990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number39754
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: