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NPI Code Detail

MEDICARE: DR. MICHELE LEE CLINGENPEEL M. D.

MEDICARE: DR. MICHELE LEE CLINGENPEEL M. D.
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
1207Q00000XFamily Medicine Physician4301077135MI
2207Q00000XFamily Medicine Physician50593CO

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 : 1851356737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELE LEE CLINGENPEEL M. D.
Provider Business Mailing Address
First Line : 2127 E HARMONY RD
Second Line : SUITE 140
City : FORT COLLINS
State : CO
Zip : 80528-3405
Country : US
Telephone Number : 970-297-6250
Fax Number : 970-297-6260
Provider Business Practice Location Address
First Line : 2127 E HARMONY RD
Second Line : STE 140
City : FORT COLLINS
State : CO
Zip : 80528-3405
Country : US
Telephone Number : 970-297-6250
Fax Number : 970-297-6260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 07/24/2015

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