MR. MARK WIESNER, D.O.

Pediatrics

Active Individual
NPI: 1154304939

Practice Address

555 PROSPECT AVE
Estes Park, CO 80517

Phone: (970) 586-2200

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 31069 (CO)

Frequently Asked Questions

NPI 1154304939 is the National Provider Identifier for MR. MARK WIESNER, D.O., a Pediatrics provider located in Estes Park, CO. This NPI was enumerated on November 25, 2005.
MR. MARK WIESNER, D.O. practices at 555 PROSPECT AVE, Estes Park, CO 80517.

Quick Facts

NPI
1154304939
Type
Individual
Enumerated
Nov 25, 2005
Last Updated
Aug 28, 2013

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