# KENNETH H WEISIGER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clear Creek Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780611079
- **Authorized official:** DR. KENNETH H WEISIGER MD (MD/OWNER)
- **Authorized official phone:** (303) 893-8300

## Contact information

- **Practice address:** 14062 DENVER WEST PKWY BLDG 52, SUITE 150, LAKEWOOD, CO 80401-3187
- **Practice address phone:** (303) 893-8300
- **Practice address fax:** (303) 825-7927
- **Mailing address:** 14062 DENVER WEST PKWY BLDG 52, SUITE 150, LAKEWOOD, CO 80401-3187
- **Mailing address phone:** (303) 893-8300
- **Mailing address fax:** (303) 825-7927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 09/18/2013