Wallendal, Michele

Wallendal, Michele is an individual health care provider with primary practice located at 9094 E Mineral Ave Suite 120, Centennial CO 80112-7200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wallendal, Michele can be contacted via phone (303) 779-5437.

Contact Information

Primary practice address
9094 E Mineral Ave Suite 120 Centennial CO 80112-7200
Phone: (303) 779-5437
Fax: (303) 689-9628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31398 Colorado

Profile Details

NPI number 1356303309
LBN Legal business name Wallendal, Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356303309 NPPES
Colorado MEDICAID O1313980

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