Individual
MR. MITCHELL WASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1600 HOLLOWAY AVE, SAN FRANCISCO, CA 94132-1722
(415) 338-1576
(415) 338-1967
Mailing address
1600 HOLLOWAY AVE, SAN FRANCISCO, CA 94132-1722
(415) 338-1576
(415) 338-1967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
09/27/2010
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