| Organization Name: | WINDSOR FAMILY CLINIC, PC |
| NPI Number: | 1619160033 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGIE NOETZELMANN (BILLING REPRESENTATIVE) |
| Mailing Address: | 4630 Royal Vista Cir Ste 7 Windsor |
| State: | CO US |
| Postal Code: | 805289371 |
| Phone Number: | 9705300575 |
| Fax Number: | 9705300581 |
| NPI Enumeration Date: | 08/20/2007 |
| NPI Last Update Date: | 08/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |