Individual
DR. MARTIN GLENN YUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1960 OGDEN ST STE 110, DENVER, CO 80218-3667
(303) 318-2460
(303) 318-2489
Mailing address
500 ELDORADO BLVD, SUITE 6250, BROOMFIELD, CO 80021-3408
(303) 272-0751
(303) 318-2488
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
42537
CO
207UN0901X
Nuclear Cardiology Physician
42537
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44472846
—
CO
Enumeration date
06/24/2005
Last updated
07/29/2014
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