Basic Information
| Provider Information | |||||||||
| NPI: | 1770842429 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUEHNER | ||||||||
| FirstName: | MICHELLE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2695 ROCKY MOUNTAIN AVE STE 150 | ||||||||
| Address2: | |||||||||
| City: | LOVELAND | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805389071 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9706242403 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4102 PINION DRIVE, 10TH MEDICAL GROUP | ||||||||
| Address2: | |||||||||
| City: | USAF ACADEMY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7193335140 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2012 | ||||||||
| LastUpdateDate: | 09/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 0101255763 | VA | N | Allopathic & Osteopathic Physicians | Surgery | 208D00000X | 0101255763 | VA | N | Allopathic & Osteopathic Physicians | General Practice | 208600000X | DR.0062790 | CO | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.