Colorado
Division of Professions and Occupations
Mark Andrew Wisner
Medical - Physician
License number
44052
Date granted
10/03/2005
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
Table Mesa Family Medicine, 1755 48th St., Suite 200, Boulder, CO, 80301-0301
coloradolicensing.org
ID 27429918
LAST UPDATED 2024-04-09 11:33:44 UTC
LAST UPDATED 2024-04-09 11:33:44 UTC
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