Mark Wisner, D.O

NPI 1083829162 · on the registry since 2007

Practice

Address: 1109 Ford St
Golden, CO 80401
Phone: (303) 277-2138
Organisation at this address: Premise Health Of Colorado Medical Pc
Inferred from a shared address, not stated in the registry.

Additional practice sites

5330 Manhattan Cir, Boulder, CO
214 South 4th Street, Kremmling, CO

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado