Individual
WEI-SAN MONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
DENVER HEALTH LOWRY FAMILY HEALTH CENTER, 1001 YOSEMITE ST, DENVER, CO 80230
(303) 602-4545
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-4949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0065867
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0007785
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018024679
—
MO
01
—
DR.0065867
COLORADO MEDICAL LICENSE
CO
Enumeration date
07/11/2018
Last updated
08/07/2024
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