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Michelle L Fussnecker, PA-C
Medical Physician Assistant in Broomfield, Colorado
NPI 1871047753

Michelle L Fussnecker is a Medical Physician Assistant based in Denver, CO and is specialized in Medical. Michelle L Fussnecker practices in Broomfield, CO and has the professional credentials of PA-C. The NPI Number for Michelle L Fussnecker is 1871047753 and holds a License No. PA2016-0060 (Colorado).

The current practice location address for Michelle L Fussnecker is 6450 W 120Th Ave Unit A, Broomfield, CO and can be reached out via phone at 720-274-9200.

Location: 6450 W 120Th Ave Unit A, Broomfield, CO, 80219-4334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871047753
Provider Name
Michelle L Fussnecker
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6450 W 120Th Ave Unit A, Broomfield, CO, 80219-4334
Phone Number
720-274-9200
Fax Number
Provider Enumeration Date
08/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6450 W 120Th Ave Unit A
City
Broomfield
State
Colorado
Zip
80020
Phone Number
720-274-9200
Fax Number
person
Provider Business Mailing Address Details
Address
6450 W 120Th Ave Unit A
City
Broomfield
State
Colorado
Zip
80020
Phone Number
720-274-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA2016-0060 (New Mexico)
Definition
Definition to come...
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