MEDICARE: DR. MICHELLE DUDEVOIR 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
1	207XS0106X	Orthopaedic Hand Surgery Physician	DR.0067606	CO

General Provider Information

NPI Number	:	1508282591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE DUDEVOIR MD

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3010 N CIRCLE DR STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1174
Country	:	US
Telephone Number	:	719-776-7846
Fax Number	:	719-776-3456

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

Provider Enumeration Date	:	03/13/2014
Last Update Date	:	02/03/2026

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