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NPI Code Detail

MEDICARE: MICHAEL R BJORK MD

MEDICARE: MICHAEL R BJORK 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
1207P00000XEmergency Medicine Physician21503CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821046517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL R BJORK MD
Provider Business Mailing Address
First Line : PO BOX 4337
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80866-4337
Country : US
Telephone Number : 719-687-3843
Fax Number :
Provider Business Practice Location Address
First Line : 41 STATE HIGHWAY 67
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-5008
Country : US
Telephone Number : 719-776-3216
Fax Number : 719-776-3187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 02/18/2014

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