Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TL-2774 | CO |
N | 111NI0900X | Internist | TL-2774 | CO |
N | 207RC0200X | Critical Care Medicine | 50062 | CO |
Y | 207RP1001X | Pulmonary Disease | 50062 | CO |
NPI | 1023279544 |
---|---|
Provider Name | Michael Paul Mohning |
First Address | Denver, CO 80206-2761 |
Second Address | Denver, CO 80206-2761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38380382 | (05) | CO |
DR50062 | NPPES LICENSE (01) | CO |