Individual
DR. ETHAN WEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2030 MOUNTAIN VIEW AVE, SUITE 540, LONGMONT, CO 80501-3178
(303) 951-4059
(303) 951-4060
Mailing address
9085 E MINERAL CIR, SUITE 110, CENTENNIAL, CO 80112-3462
(303) 801-0129
(303) 586-8206
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
55496
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
06/17/2012
Last updated
07/09/2015
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