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Individual

DR. PHILIP WROTSLAVSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM, CEO

Contact information

Practice address
15525 POMERADO RD, SUITE E-6, POWAY, CA 92064-2435
(858) 451-2280
(858) 451-2006
Mailing address
PO BOX 13613, LA JOLLA, CA 92039-3613
(888) 451-3770
(888) 600-8694

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4717
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E4717
CA

Other

Enumeration date
02/13/2007
Last updated
09/23/2008
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