Wisthoff, Mark Ryan

Wisthoff, Mark Ryan is an individual health care provider with primary practice located at 4660 Yosemite St Ste 100 , Denver CO 80238-4481. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wisthoff, Mark Ryan can be contacted via phone (720) 516-8902.

Contact Information

Primary practice address
4660 Yosemite St Ste 100 Denver CO 80238-4481
Phone: (720) 516-8902
Fax: (720) 516-8903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 50751 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X DR.0050751 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0050751 Colorado

Profile Details

NPI number 1730407321
LBN Legal business name Wisthoff, Mark Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated May 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730407321 NPPES
Colorado MEDICAID 18780083

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