DR. Karl Otto Wustrack, M.D.

NPI #1760415368 in West Linn, Oregon

Provider Information

NPI Number
1760415368
Entity Type
Individual
Name
DR. Karl Otto Wustrack, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Jul 8, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
1830 BLANKENSHIP RD
Address 2
#100
State
Oregon
ZIP Code
97068-4181
Phone
(503) 655-9727

Specialties & Taxonomy Codes

Specialty
Specialist

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