MEDICARE: DR. FREDERICK S MECHANIK DPM, FACFAS, FACPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	5255	CO

General Provider Information

NPI Number	:	1699738682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK S MECHANIK DPM, FACFAS, FACPM

Provider Business Mailing Address
First Line	:	3981 S NARCISSUS WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-2023
Country	:	US
Telephone Number	:	303-335-8106
Fax Number	:

Provider Business Practice Location Address
First Line	:	3981 S NARCISSUS WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-2023
Country	:	US
Telephone Number	:	303-335-8106
Fax Number	:

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	06/23/2021

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