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Organization

KARL O. WUSTRACK,MD,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KARL OTTO WUSTRACK M.D. (OWNER)
(503) 655-9727
Entity
Organization

Contact information

Practice address
1830 BLANKENSHIP RD, SUITE 100, WEST LINN, OR 97068-4181
(503) 655-9727
(503) 655-9865
Mailing address
1830 BLANKENSHIP RD, SUITE 100, WEST LINN, OR 97068-4181
(503) 655-9727
(503) 655-9865

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD08363
OR

Other

Enumeration date
01/30/2012
Last updated
01/30/2012
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