Provider Demographics
NPI:1699738682
Name:MECHANIK, FREDERICK S (DPM, FACFAS, FACPM)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:S
Last Name:MECHANIK
Suffix:
Gender:M
Credentials:DPM, FACFAS, FACPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3981 S NARCISSUS WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2023
Mailing Address - Country:US
Mailing Address - Phone:303-335-8106
Mailing Address - Fax:
Practice Address - Street 1:3981 S NARCISSUS WAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2023
Practice Address - Country:US
Practice Address - Phone:303-335-8106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5255213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine