Individual
DR. MICHAEL WOLTERBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
609 E ORANGEBURG AVE, SUITE 201, MODESTO, CA 95350-5580
(209) 572-3613
(209) 572-4528
Mailing address
609 E ORANGEBURG AVE, SUITE 201, MODESTO, CA 95350-5580
(209) 572-3613
(209) 572-4528
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E42150
—
CA
Enumeration date
08/12/2006
Last updated
07/08/2007
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