Individual
DR. JENNIFER WLODARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1C412 UNIVERSITY MEDICAL CTR, 20 NORTH 1900 EAST, SALT LAKE CITY, UT 84132-2155
(801) 581-3000
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
8438010-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
04/20/2011
Last updated
09/30/2015
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