Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 13207 | OK |
NPI | 1316904881 |
---|---|
Provider Name | Dr. Michael B Clendenin |
First Address | Wheat Ridge, CO 80033-6028 |
Second Address | Westminster, CO 80023-9328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 17/03/2018 |