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Individual

DR. MARY ELIZABETH GUESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
053501
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024391
KAISER COMMERCIAL NUMBER
CO
05
05572541
CO
Enumeration date
04/11/2011
Last updated
06/21/2021
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