Provider Demographics
NPI:1992790190
Name:BRANDSTETTER, GRETA KAY (MD)
Entity type:Individual
Prefix:DR
First Name:GRETA
Middle Name:KAY
Last Name:BRANDSTETTER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9351 GRANT ST
Mailing Address - Street 2:SUITE 560
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4358
Mailing Address - Country:US
Mailing Address - Phone:303-586-5001
Mailing Address - Fax:303-586-5002
Practice Address - Street 1:9351 GRANT ST
Practice Address - Street 2:SUITE 560
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4358
Practice Address - Country:US
Practice Address - Phone:303-586-5001
Practice Address - Fax:303-586-5002
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2010-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO29355207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO55989268Medicaid