# DR. GARY WITUCKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184699472
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 03087 | KY | — |
| 207Q00000X | Family Medicine Physician | 57339 | WI | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 5101011763 | MI | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 57339 | WI | — |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 10/30/2024