Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | DR.0051220 | CO |
N | 208600000X | Surgeon | DR.0051220 | CO |
Y | 2086S0102X | Surgical Critical Care | DR.0051220 | CO |
NPI | 1104895051 |
---|---|
Provider Name | Dr. Michael Herman Metzler III |
First Address | Loveland, CO 80538-9004 |
Second Address | Loveland, CO 80538-9004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 26/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100503945 | (05) | NV |
914764 | (05) | AZ |
99879824 | (05) | CO |
A13037 | (02) | |
XPY205012 | (05) | CA |