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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDISAN AND ROSETE MEDICAL GROUP PROFESSIONAL CORPORATION

Active Organization

WANDISAN AND ROSETE MEDICAL GROUP PROFESSIONAL CORPORATION is a Internal Medicine organization located in TRACY, California. NPI 1316058795 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · TRACY, CA

Registration Details

NPI Number
1316058795
Provider Type
Organization
NPI Issued
Aug 31, 2006 (19.966775082968 yrs)
Last Updated
Jul 10, 2018
License
A72169 (CA)

Practice Information

Address
4600 S TRACY BLVD #107
TRACY, CA, 95377
Browse CA providers · Browse ZIP 95377
Phone
2098364920
Fax
2098364935
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.