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Individual

DR. PETER WANNIGMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND, RPH

Contact information

Practice address
4295 GESNER ST STE 3C2, SAN DIEGO, CA 92117-6663
(858) 750-2088
(858) 284-4200
Mailing address
3772 BALBOA TER UNIT B, SAN DIEGO, CA 92117-5449
(858) 270-8898

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND13
CA
183500000X
Pharmacist
41173
CA
183500000X
Pharmacist
S009020
AZ

Other

Enumeration date
04/26/2007
Last updated
12/16/2020
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