Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 10729 | MT |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 11261A | WY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 36321 | CO |
NPI | 1013962372 |
---|---|
Provider Name | Milton S Glatterer JR. |
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 | 24/05/2006 |
Last Update Date | 29/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
144066 | (05) | MT |
9000137757 | (05) | CO |
99906 | BLUE CROSS (01) | MT |
Q20186 | (02) |