Individual
DR. MARK ANDREW WEISBROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 N CASCADE AVE, COLORADO SPRINGS, CO 80907-6262
(719) 636-3937
Mailing address
2920 N CASCADE AVE, COLORADO SPRINGS, CO 80907-6262
(719) 636-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
46910
CO
207W00000X
Ophthalmology Physician
BP1-0018217
TX
207W00000X
Ophthalmology Physician
ME99294
FL
Other
Enumeration date
06/14/2007
Last updated
09/03/2008
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