Vitreo-Retinal Medical Group, Inc.

NPI #1710212782 in Tracy, California

Provider Information

NPI Number: 1710212782
Entity Type: Organization
Organization Name: Vitreo-Retinal Medical Group, Inc.
Primary Specialty: Ophthalmology
Enumeration Date: Oct 8, 2009
Last Updated: Oct 8, 2009

Practice Location

Address: 1548 N TRACY BLVD
City: Tracy
State: California
ZIP Code: 95376-2903
Phone: (916) 454-4861

Authorized Official

Name: DR. ROBERT WENDEL, M.D.
Title: PRESIDENT
Phone: (916) 453-5450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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