Provider Demographics
NPI:1528048600
Name:STUEVEN, HARLAN A (MD)
Entity type:Individual
Prefix:
First Name:HARLAN
Middle Name:A
Last Name:STUEVEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9695 S YOSEMITE ST
Mailing Address - Street 2:#150
Mailing Address - City:LONETREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2888
Mailing Address - Country:US
Mailing Address - Phone:720-255-2350
Mailing Address - Fax:
Practice Address - Street 1:9695 S YOSEMITE ST
Practice Address - Street 2:#150
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2888
Practice Address - Country:US
Practice Address - Phone:720-255-2350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI23881-020207P00000X
CO48239207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30297500Medicaid
WI0027Medicare ID - Type Unspecified
WI30297500Medicaid