Individual
BRENT WITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 370, MILWAUKEE, WI 53215
(414) 649-7900
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-7900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
69577
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069864
—
WI
Enumeration date
06/19/2012
Last updated
11/10/2023
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