MEDICARE: DR. MICHAEL CHARLES BATEMAN 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
1	2086S0122X	Plastic and Reconstructive Surgery Physician	43266	CO

General Provider Information

NPI Number	:	1871675314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL CHARLES BATEMAN M.D.

Provider Business Mailing Address
First Line	:	4700 HALE PKWY STE 520
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-4053
Country	:	US
Telephone Number	:	303-388-1945
Fax Number	:	303-388-1979

Provider Business Practice Location Address
First Line	:	4700 HALE PKWY STE 520
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-4053
Country	:	US
Telephone Number	:	303-388-1945
Fax Number	:	303-388-1979

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	09/05/2024

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