Individual
DR. SANDRA DESILVIO WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
735 HASKINS RD, BOWLING GREEN, OH 43402-1638
(419) 352-8110
(419) 354-1425
Mailing address
592 WINDING RIVER CT, PERRYSBURG, OH 43551-5419
(419) 872-9413
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36-00-2512-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0795528
—
OH
Enumeration date
09/28/2006
Last updated
03/07/2023
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