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Organization

VITREO-RETINAL MEDICAL GROUP, INC.

Active
Other names
Retinal Consultants Medical Group, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WENDEL M.D. (PRESIDENT)
(916) 453-5450
Entity
Organization

Contact information

Practice address
1548 N TRACY BLVD, TRACY, CA 95376-2903
(916) 454-4861
(916) 454-3603
Mailing address
3939 J ST, SUITE 104, SACRAMENTO, CA 95819-3631
(916) 454-6191
(916) 454-1036

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
10/08/2009
Last updated
10/08/2009
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