Organization
JON S WILENSKY, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN S WILENSKY MD (OWNER)
(858) 622-0200
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR STE 105, SAN DIEGO, CA 92121-3022
(858) 622-0200
(858) 622-0205
Mailing address
4510 EXECUTIVE DR STE 105, SAN DIEGO, CA 92121-3022
(858) 622-0200
(858) 622-0205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A93345
CA
Other
Enumeration date
07/22/2006
Last updated
05/28/2008
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