MEDICARE: DR. ALEXANDER KARL-WILHELM MAYBACH D.O.

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	207Q00000X	Family Medicine Physician	43699	CO

General Provider Information

NPI Number	:	1437229895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER KARL-WILHELM MAYBACH D.O.

Provider Business Mailing Address
First Line	:	1805 SHEA CENTER DR STE 450
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2255
Country	:	US
Telephone Number	:	303-357-2559
Fax Number	:	303-955-1039

Provider Business Practice Location Address
First Line	:	8510 BRYANT ST STE 320
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-3845
Country	:	US
Telephone Number	:	720-780-5599
Fax Number	:	303-955-1039

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	11/06/2024

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