Provider Demographics
NPI:1437229895
Name:MAYBACH, ALEXANDER KARL-WILHELM (DO)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:KARL-WILHELM
Last Name:MAYBACH
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1707 COLE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3220
Mailing Address - Country:US
Mailing Address - Phone:303-716-8013
Mailing Address - Fax:303-763-5495
Practice Address - Street 1:7950 KIPLING ST
Practice Address - Street 2:STE 101
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-3923
Practice Address - Country:US
Practice Address - Phone:303-725-4680
Practice Address - Fax:303-425-1616
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2013-10-04
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Provider Licenses
StateLicense IDTaxonomies
CO43699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine