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Organization

WOLFGANG C HALLAUER

Active
Other names
BUELLTON MEDICAL CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
WOLFGANG CURT HALLAUER M.D. (MEDICAL DIRECTOR)
(805) 686-8555
Entity
Organization

Contact information

Practice address
185 W. HWY 246, SUITE 102, BUELLTON, CA 93427
(805) 686-8555
(805) 686-8556
Mailing address
185 W. HWY 246, SUITE 102, BUELLTON, CA 93427
(805) 686-8555
(805) 686-8556

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0078780
CA
Enumeration date
05/03/2007
Last updated
06/23/2008
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