Individual
DOROTA JAKUBOWSKI WISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
505 PARNASSUS AVE, BOX 0628, SAN FRANCISCO, CA 94143-0628
(415) 443-5889
Mailing address
505 PARNASSUS AVE, BOX 0628, SAN FRANCISCO, CA 94143-0628
(415) 443-5889
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A94725
CA
Other
Enumeration date
06/20/2007
Last updated
02/11/2022
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