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Individual

JOHN LAWRENCE WIBERG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 393-2882
Mailing address
60 DEXTER ST, DENVER, CO 80220-5652
(303) 399-8020
(303) 393-5272

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15425
CO

Other

Enumeration date
02/24/2006
Last updated
07/08/2007
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