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Individual

DR. GEORG WIESELTHALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 PARNASSUS AVE, SIXTH FLOOR, SAN FRANCISCO, CA 94143-0118
(415) 353-1606
(415) 353-1312
Mailing address
500 PARNASSUS AVE, MU WEST - 4TH FLOOR, SAN FRANCISCO, CA 94143-0118
(415) 353-8890
(415) 353-4716

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SFP000019
CA

Other

Enumeration date
01/13/2012
Last updated
01/13/2012
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