Mr. Mark L Wiesner
D.O. | Pediatrics | Male
Mr. Mark L Wiesner, D.O. is a Estes Park, Colorado based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Mark L Wiesner is
555 Prospect Ave, Estes Park, Colorado - 80517-6312. He can be contacted on phone at
970-586-2200 and fax number 970-577-4536.
Mr. Mark L Wiesner is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Mark L Wiesner is
1154304939 which was assigned by NPPES on 25 Nov, 2005 and it was last updated on 28 Aug, 2013.
Mr. Mark L Wiesner license number is
31069 for Pediatrics (208000000X) in Colorado.
Mr. Mark L Wiesner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Mark L Wiesner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Mark L Wiesner |
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| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Mr. Mark L Wiesner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 555 Prospect Ave
Estes Park, CO, 80517-6312
United States |
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| Phone Number : | 970-586-2200 |
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| Fax Number : | 970-577-4536 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154304939 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Nov, 2005 |
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| Last Updated On : | 28 Aug, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Mark L Wiesner are as mentioned. Primary taxonomy code for Mr. Mark L Wiesner, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 31069 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Mark L Wiesner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01310697 | MEDICAID | CO | |
| 0725614 | MEDICAID | IA | |
| 841287602 | Other | CO | CHAMPUS |
| WIA4011 | Other | CO | ANTHEM BCBS |
| 107825900 | MEDICAID | WY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 555 Prospect Ave
Estes Park, CO, 80517-6312
United States |
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| Phone Number : | 970-586-2200 |
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| Fax Number : | 970-577-4536 |
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Business Location:
Patients can refer following map for directions to
Mr. Mark L Wiesner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.