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Individual

DR. MARK IAN VANOTTERLOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DAOM

Contact information

Practice address
4288 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-2436
(720) 295-9323
(720) 295-9323
Mailing address
4288 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-2436
(720) 295-9323
(720) 295-9323

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1763
CO

Other

Enumeration date
02/17/2012
Last updated
10/17/2025
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