Provider Demographics
NPI:1386964377
Name:MCCLOSKEY, MICHELLE B (MD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:B
Last Name:MCCLOSKEY
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Gender:
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:400 S MCCASLIN BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9701
Mailing Address - Country:US
Mailing Address - Phone:303-319-5283
Mailing Address - Fax:303-666-7379
Practice Address - Street 1:400 S MCCASLIN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-9701
Practice Address - Country:US
Practice Address - Phone:303-319-5283
Practice Address - Fax:303-666-7379
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RILP01989208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics