Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DR.0052417 | CO |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | K6520 | TX |
NPI | 1134198161 |
---|---|
Provider Name | Dr. Michael V Zaretsky |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 01/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
147623603 | (05) | TX |
8U2082 | BCBS (01) | TX |
H51212 | (02) | TX |