Healthcare Provider Details

I. General information

NPI: 1972941912
Provider Name (Legal Business Name): ERIN MIKHAL SCHRUNK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2013
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S SHIELDS ST BLDG I
FORT COLLINS CO
80526-1827
US

IV. Provider business mailing address

2001 S SHIELDS ST STE 101
FORT COLLINS CO
80526-1827
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-5255
  • Fax: 970-225-5206
Mailing address:
  • Phone: 970-297-6600
  • Fax: 970-297-6601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6944
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: