Individual
DR. BRUCE MELVIN WERMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2542 S BASCOM AVE, STE 110, CAMPBELL, CA 95008-5526
(408) 559-3403
Mailing address
2190 COWPER STREET, PALO ALTO, CA 94301
(650) 327-5153
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G25581
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G25581
CA
Other
Enumeration date
02/26/2007
Last updated
11/16/2022
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