Individual
GREGORY WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST # MC0108, DENVER, CO 80204
(303) 602-5183
Mailing address
777 BANNOCK ST # MC0108, DENVER, CO 80204-4507
(303) 602-5183
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0066094
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.00007434
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0006429
CO
Other
Enumeration date
04/04/2017
Last updated
04/30/2021
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