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NPI Code Detail

MEDICARE: DR. MICHELLE LYN GLASGOW MD

MEDICARE: DR. MICHELLE LYN GLASGOW MD
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
1207Q00000XFamily Medicine Physician43025CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2015405OTHERKAISER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1417084435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE LYN GLASGOW MD
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2950 E HARMONY RD STE 190
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3430
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 01/12/2026

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