Individual
NICOLE ANNE WIELANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1960 OGDEN ST, SUITE 400, DENVER, CO 80218-3666
(303) 318-1540
(303) 318-2481
Mailing address
1960 OGDEN ST, SUITE 400, DENVER, CO 80218-3666
(303) 318-1540
(303) 318-2481
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL-4521
CO
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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