Provider Demographics
NPI:1972892909
Name:MANN, ADRIENNE WILSON (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:WILSON
Last Name:MANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1700 N WHEELING STREET
Mailing Address - Street 2:MAILSTOP 111
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-399-8020
Mailing Address - Fax:303-393-5199
Practice Address - Street 1:1700 N WHEELING STREET
Practice Address - Street 2:MAIL STOP 111
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:303-594-6168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0052682207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine