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NPI Code Detail

MEDICARE: FREDERICK H MICHEL MD

MEDICARE: FREDERICK H MICHEL 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
12084P0800XPsychiatry PhysicianMD00032960WA
22084P0800XPsychiatry PhysicianDR.0030120CO

General Provider Information

NPI Number : 1720092802
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDERICK H MICHEL MD
Provider Business Mailing Address
First Line : 1795 JET WING DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2332
Country : US
Telephone Number : 719-572-6100
Fax Number : 719-572-6186
Provider Business Practice Location Address
First Line : 1795 JET WING DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2332
Country : US
Telephone Number : 719-572-6100
Fax Number : 719-572-6186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 08/12/2025

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