MARK DZIETKO

SAN FRANCISCO, CA
NPI1144558537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: CA  2080N0001X)
Enumeration Date2009-11-24
Last Update Date2009-11-24
Business Address
Mr. MARK DZIETKO MD
533 PARNASSUS AVE U503
SAN FRANCISCO, CA 94143
Phone number: 415-476-1888
Mailing Address
Mr. MARK DZIETKO MD
1250 20TH AVE UNIT 1
SAN FRANCISCO, CA 94122-1732
Phone number: