Provider Demographics
NPI:1245496702
Name:WORRELL, MICHAEL II (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:WORRELL
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:MICAH
Other - Middle Name:
Other - Last Name:WORRELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:8101 E LOWRY BLVD
Mailing Address - Street 2:STE 230
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7195
Mailing Address - Country:US
Mailing Address - Phone:303-344-9090
Mailing Address - Fax:303-344-1922
Practice Address - Street 1:8101 E LOWRY BLVD
Practice Address - Street 2:STE 230
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7195
Practice Address - Country:US
Practice Address - Phone:303-344-9090
Practice Address - Fax:303-344-1922
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0053098207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery