Individual
DR. MARC Y WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8155 PINEY RIVER AVE STE 100, LITTLETON, CO 80125-8729
(303) 265-3390
(720) 274-0064
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(720) 274-0064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036110646
IL
2084N0400X
Neurology Physician
37826
AZ
2084N0400X
Neurology Physician
Primary
DR.0050778
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305105
—
AZ
Enumeration date
07/20/2005
Last updated
10/08/2021
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