Provider Demographics
NPI:1225118011
Name:GESSNER, WIESLAW PAWEL (MD)
Entity Type:Individual
Prefix:DR
First Name:WIESLAW
Middle Name:PAWEL
Last Name:GESSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:W
Other - Middle Name:PAUL
Other - Last Name:GESSNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:8850 RALSTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2248
Mailing Address - Country:US
Mailing Address - Phone:303-431-5060
Mailing Address - Fax:303-431-5099
Practice Address - Street 1:8850 RALSTON RD STE 200
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2248
Practice Address - Country:US
Practice Address - Phone:303-431-5060
Practice Address - Fax:303-431-5099
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO32051207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO32051OtherSTATE LICENSE
CO32051OtherSTATE LICENSE
BG2528389OtherDEA
F14221Medicare UPIN