Individual
JONATHAN WEHREND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(303) 570-8343
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(303) 570-8343
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
182749
CA
390200000X
Student in an Organized Health Care Education/Training Program
TL.0008618
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/13/2019
Last updated
10/21/2022
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