Individual
DR. BARBARA M. WIROSTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
65 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2352
Mailing address
PO BOX 413075, SALT LAKE CITY, UT 84141-3075
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
190055-1
NY
207W00000X
Ophthalmology Physician
Primary
7496716-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01622242
—
NY
Enumeration date
07/07/2005
Last updated
12/20/2021
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