Provider Demographics
NPI:1437370756
Name:SCHUTTE, WARREN PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:PATRICK
Last Name:SCHUTTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1175 58TH AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4808
Mailing Address - Country:US
Mailing Address - Phone:970-495-0300
Mailing Address - Fax:970-224-9624
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE
Practice Address - Street 2:STE 130
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:303-872-8250
Practice Address - Fax:303-558-4152
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2010-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO47989208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO51773872Medicaid
COCO41230Medicare PIN