MEDICARE: ERIK THELANDER D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	614	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	:	1255336400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIK THELANDER D.P.M.

Provider Business Mailing Address
First Line	:	15901 E BRIARWOOD CIR UNIT 300
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-1786
Country	:	US
Telephone Number	:	303-632-3668
Fax Number	:	303-632-3669

Provider Business Practice Location Address
First Line	:	15901 E BRIARWOOD CIR UNIT 300
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-1786
Country	:	US
Telephone Number	:	303-632-3668
Fax Number	:	303-632-3669

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	01/16/2020

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Directions to “ ERIK THELANDER D.P.M.” Practice Location

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