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Individual

DR. JOSEPH WANZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
10187979-2501
UT

Other

Enumeration date
12/19/2016
Last updated
02/09/2017
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