DR. Mark Andrew Wisner, D.O.

NPI #1083829162 in Golden, Colorado

Provider Information

NPI Number: 1083829162
Entity Type: Individual
Name: DR. Mark Andrew Wisner, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: May 11, 2007
Last Updated: Feb 11, 2025

Practice Location

Address: 1109 FORD ST
City: Golden
State: Colorado
ZIP Code: 80401-1176
Phone: (303) 277-2138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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