Provider Demographics
NPI:1104627470
Name:PATTSCHULL, MARIA ROSE (DPM)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ROSE
Last Name:PATTSCHULL
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E 19TH AVE STE 5300
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1229
Mailing Address - Country:US
Mailing Address - Phone:720-916-9580
Mailing Address - Fax:
Practice Address - Street 1:1601 E 19TH AVE STE 5300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1229
Practice Address - Country:US
Practice Address - Phone:720-916-9580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program