Individual
THEODORE S WIRECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1660 S ALBION ST, SUITE 831, DENVER, CO 80222-4046
(303) 618-2303
(303) 558-1497
Mailing address
1660 S ALBION ST, SUITE 831, DENVER, CO 80222-4046
(303) 618-2303
(303) 558-1497
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20856
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01208560
—
CO
Enumeration date
04/04/2006
Last updated
06/24/2024
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