Individual
DR. BRUCE U. WINTROUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115-3011
(415) 353-7597
(415) 353-7850
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G47483
CA
207R00000X
Internal Medicine Physician
G47483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G474830
—
CA
Enumeration date
05/11/2006
Last updated
08/27/2012
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