Jared L Wutzke, M.D.

NPI #1225238207 in Walla Walla, Washington

Provider Information

NPI Number: 1225238207
Entity Type: Individual
Name: Jared L Wutzke, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Jul 19, 2007
Last Updated: Mar 30, 2012

Practice Location

Address: 401 W POPLAR ST
Address 2: PSMMC ER
City: Walla Walla
State: Washington
ZIP Code: 99362-2846
Phone: (509) 522-5802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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