Provider Demographics
NPI:1447350996
Name:NERZIG, STUART ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:ALAN
Last Name:NERZIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3301 ARAPAHOE AVE
Mailing Address - Street 2:APT 411
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1009
Mailing Address - Country:US
Mailing Address - Phone:303-831-6686
Mailing Address - Fax:720-932-9255
Practice Address - Street 1:2460 W 26TH AVE
Practice Address - Street 2:SUITE C360
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5308
Practice Address - Country:US
Practice Address - Phone:303-831-6686
Practice Address - Fax:720-932-9255
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT031030207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1310309Medicaid
CTE57931Medicare UPIN
CT1310309Medicaid