Individual
DR. JOHN DEKUTOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4150 CLEMENT ST, GB17, (11C3), SAN FRANCISCO, CA 94121-1545
(415) 750-2122
(415) 750-2249
Mailing address
4150 CLEMENT ST, GB17, (11C3), SAN FRANCISCO, CA 94121-1545
(415) 750-2122
(415) 750-2249
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G035124
CA
Other
Enumeration date
08/08/2006
Last updated
09/06/2023
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