Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIDNEY EVAN WANETICK, MD
ActiveDR. SIDNEY EVAN WANETICK, MD is a Gynecology healthcare provider located in CASTRO VALLEY, California. NPI 1508869868 is currently active in the NPPES registry. Verify at CMS.
Gynecology · CASTRO VALLEY, CA
Registration Details
- NPI Number
- 1508869868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (21.250556144554 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G46693 (CA)
Practice Information
- Address
-
19845 LAKE CHABOT RDSTE 302CASTRO VALLEY, CA, 945464055Browse CA providers · Browse ZIP 94546
- Phone
- 5108863400
- Fax
- 5108860861
- Primary Specialty
-
Gynecology
207VG0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.