Individual
DR. JOHN WALTER ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2273
(415) 353-2898
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G52739
CA
2084N0400X
Neurology Physician
Primary
G52739
CA
2084N0600X
Clinical Neurophysiology Physician
G52739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G527390
—
CA
Enumeration date
06/27/2006
Last updated
10/13/2017
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