Individual
DR. REBECCA L WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3555 LUTHERAN PKWY, SUITE 380, WHEAT RIDGE, CO 80033-6021
(303) 940-8200
Mailing address
3555 LUTHERAN PKWY, SUITE 380, WHEAT RIDGE, CO 80033-6021
(303) 940-8200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
38548
CO
208600000X
Surgery Physician
Primary
DR.0038548
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020047061
MEDICARE RR
CO
05
—
46936084
—
CO
Enumeration date
08/23/2006
Last updated
02/03/2015
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