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Individual
MARK WIENPAHL
Active
Individual
MARK WIENPAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23375
CO
207Q00000X
Family Medicine Physician
Primary
G88817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01233758
—
CO
01
—
6003610001
PALMETTO DME
—
01
—
NM009J54
BCBS
NM
01
—
WIW34932
BCBS
CO
Enumeration date
06/25/2006
Last updated
03/23/2022
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