Provider Demographics
NPI:1104895051
Name:METZLER, MICHAEL HERMAN III (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HERMAN
Last Name:METZLER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9004
Mailing Address - Country:US
Mailing Address - Phone:970-203-7000
Mailing Address - Fax:970-203-7055
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE
Practice Address - Street 2:SUITE 2200
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-203-7000
Practice Address - Fax:970-203-7055
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00512202086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO99879824Medicaid
NV100503945Medicaid
CAXPY205012Medicaid
AZ914764Medicaid
NV40374Medicare PIN
COCOA109608Medicare PIN
CO99879824Medicaid
NV100503945Medicaid
A13037Medicare UPIN