Provider Demographics
NPI:1275808586
Name:FELS, MEGHAN ANN CROTEAU (DO)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ANN CROTEAU
Last Name:FELS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:ANN
Other - Last Name:CROTEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:6801 W 20TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-9637
Mailing Address - Country:US
Mailing Address - Phone:970-350-5828
Mailing Address - Fax:970-810-4210
Practice Address - Street 1:6801 W 20TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-9637
Practice Address - Country:US
Practice Address - Phone:970-350-5828
Practice Address - Fax:970-810-4210
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0055167208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics