Provider Demographics
NPI:1700866837
Name:TOWBIN, MICHAEL M (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:TOWBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7751 ZENOBIA CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-4659
Mailing Address - Country:US
Mailing Address - Phone:303-412-9121
Mailing Address - Fax:303-412-9187
Practice Address - Street 1:7751 ZENOBIA CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4659
Practice Address - Country:US
Practice Address - Phone:303-412-9121
Practice Address - Fax:303-412-9187
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
CO31999207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01319995Medicaid
COC801042Medicare PIN
CO01319995Medicaid