Provider Demographics
NPI:1629837935
Name:MICHELLE WEIL, M.D. PLLC
Entity Type:Organization
Organization Name:MICHELLE WEIL, M.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-219-1370
Mailing Address - Street 1:PO BOX 181742
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-8833
Mailing Address - Country:US
Mailing Address - Phone:303-219-1370
Mailing Address - Fax:
Practice Address - Street 1:1928 E 18TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1108
Practice Address - Country:US
Practice Address - Phone:303-219-1370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health