Brian W Wistow, MD
Brian W Wistow, MD is a Diagnostic Radiology in Modesto, California. Qualified in 1972, 54 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 54
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
600 Coffee RdModesto, CA 95355-4201
Phone: (209) 524-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence A33568 (CA) |
|---|---|
| Body Imaging Physician | Taxonomy 2085B0100X · Licence A33568 (CA) |
| Diagnostic Ultrasound Physician | Taxonomy 2085U0001X · Licence A33568 (CA) |
Record details
| NPI number | 1437109709 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 10, 2006 |
| Last updated in NPPES | March 1, 2011 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1972 (54 years in practice) |
| Group practice | Sutter Valley Medical Foundation — 2464 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 14 on file with Medicare |
Other providers in Modesto
-
Modesto Radiological Medical Group, Inc
1524 McHenry Ave Ste 100, Modesto, CA 95350-4500 · (209) 342-5920
-
Michael Russell Tekautz, MD
1524 McHenry Ave Ste 100, Modesto, CA 95350-4500 · (209) 577-4444
-
Cesar J Tumakay, DO
600 Coffee Rd, Modesto, CA 95355-4201 · (209) 524-1211
-
Kevin Tae Il Whang, MD
1524 McHenry Ave, Modesto, CA 95350-4500 · (209) 577-4444
-
Michael Andrew Zeppa, MD
1524 McHenry Ave Ste 100, Modesto, CA 95350-4500 · (209) 577-4444