MR. Mark L Wiesner, D.O.
NPI #1154304939 in Estes Park, Colorado
Provider Information
- NPI Number
- 1154304939
- Entity Type
- Individual
- Name
- MR. Mark L Wiesner, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- D.O.
- Enumeration Date
- Nov 25, 2005
- Last Updated
- Aug 28, 2013
Practice Location
- Address
- 555 PROSPECT AVE
- City
- Estes Park
- State
- Colorado
- ZIP Code
- 80517-6312
- Phone
- (970) 586-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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