Provider Demographics
NPI:1518010198
Name:LEVIN, MICHAEL B (M D)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:LEVIN
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 CHERRY CREEK SOUTH DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2283
Mailing Address - Country:US
Mailing Address - Phone:303-759-9774
Mailing Address - Fax:
Practice Address - Street 1:4900 CHERRY CREEK SOUTH DR
Practice Address - Street 2:SUITE G
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2283
Practice Address - Country:US
Practice Address - Phone:303-759-9774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO307082084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry