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1144558537
MARK DZIETKO
SAN FRANCISCO, CA
NPI
1144558537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: CA 2080N0001X)
Enumeration Date
2009-11-24
Last Update Date
2009-11-24
Business Address
Mr. MARK DZIETKO MD
533 PARNASSUS AVE U503
SAN FRANCISCO, CA 94143
Phone number: 415-476-1888
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Mailing Address
Mr. MARK DZIETKO MD
1250 20TH AVE UNIT 1
SAN FRANCISCO, CA 94122-1732
Phone number:
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