Provider Demographics
NPI:1013962372
Name:GLATTERER, MILTON S JR (MD)
Entity type:Individual
Prefix:
First Name:MILTON
Middle Name:S
Last Name:GLATTERER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SKEET
Other - Middle Name:
Other - Last Name:GLATTERER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9004
Mailing Address - Country:US
Mailing Address - Phone:970-624-1800
Mailing Address - Fax:970-624-1891
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE STE 100
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-624-1800
Practice Address - Fax:970-624-1891
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY11261A208G00000X
MT10729208G00000X
CO36321208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT99906OtherBLUE CROSS
MT144066Medicaid
CO9000137757Medicaid
Q20186Medicare UPIN
MT84896Medicare ID - Type Unspecified