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Organization
KENNETH H WEISIGER MD PC
Active
Organization
KENNETH H WEISIGER MD PC
Active
Other names
Clear Creek Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH H WEISIGER MD (MD/OWNER)
(303) 893-8300
Entity
Organization
Contact information
Practice address
14062 DENVER WEST PKWY BLDG 52, SUITE 150, LAKEWOOD, CO 80401-3187
(303) 893-8300
(303) 825-7927
Mailing address
14062 DENVER WEST PKWY BLDG 52, SUITE 150, LAKEWOOD, CO 80401-3187
(303) 893-8300
(303) 825-7927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NULL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
09/18/2013
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