Provider Demographics
NPI:1891751244
Name:PIEL, MICHAEL THOM (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:THOM
Last Name:PIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8671 S QUEBEC ST
Mailing Address - Street 2:#210
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-5859
Mailing Address - Country:US
Mailing Address - Phone:303-346-8828
Mailing Address - Fax:303-346-0407
Practice Address - Street 1:8671 S QUEBEC ST
Practice Address - Street 2:#210
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-5859
Practice Address - Country:US
Practice Address - Phone:303-346-8828
Practice Address - Fax:303-346-0407
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO23568207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C1418Medicare UPIN
D24292Medicare UPIN