Provider Demographics
NPI:1356306294
Name:FREMLING, MITCHELL ALEX (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:ALEX
Last Name:FREMLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12207 PECOS ST
Mailing Address - Street 2:STE 300
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3892
Mailing Address - Country:US
Mailing Address - Phone:303-466-3261
Mailing Address - Fax:303-466-3674
Practice Address - Street 1:12207 PECOS ST
Practice Address - Street 2:STE 300
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3892
Practice Address - Country:US
Practice Address - Phone:303-466-3261
Practice Address - Fax:303-466-3674
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO363162082S0105X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO33252343Medicaid
CO33252343Medicaid
COG57601Medicare UPIN