Individual
MR. MARK DZIETKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
533 PARNASSUS AVE, U503, SAN FRANCISCO, CA 94143
(415) 476-1888
Mailing address
1250 20TH AVE, UNIT 1, SAN FRANCISCO, CA 94122-1732
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2080N0001X
CA
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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