Individual
DR. JONATHON M WUTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
833 MARKET ST STE 809, SAN FRANCISCO, CA 94103-1828
(415) 627-9095
Mailing address
1420 TURK ST APT 901, SAN FRANCISCO, CA 94115-4789
(262) 206-8127
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS2452
ME
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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