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Individual
DR. MARY A WITTLER
Active
Individual
DR. MARY A WITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2003-00729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134YN
BCBS
—
01
—
202780
MEDCOST
—
05
—
3810009143
—
WV
05
—
89134YN
—
NC
05
—
N0072A
—
SC
Enumeration date
07/04/2006
Last updated
09/16/2010
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