Provider Demographics
NPI:1346465135
Name:MILOBSKY, MICHAEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:MILOBSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MIKE
Other - Middle Name:J
Other - Last Name:MILOBSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2352 MEADOWS BLVD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8405
Mailing Address - Country:US
Mailing Address - Phone:303-688-5226
Mailing Address - Fax:303-814-0717
Practice Address - Street 1:2352 MEADOWS BLVD
Practice Address - Street 2:SUITE 170
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8405
Practice Address - Country:US
Practice Address - Phone:303-688-5226
Practice Address - Fax:303-814-0717
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38365208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82470359Medicaid
CO82470359Medicaid