Individual
MR. WILLIAM HAYES WYTTENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16329 S. TAMIAMI TRAIL, FORT MYERS, FL 33908
(239) 949-7246
(239) 949-7236
Mailing address
16329 S. TAMIAMI TRAIL, SUITE 5 & 6, FORT MYERS, FL 33908
(239) 949-7246
(239) 949-7236
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H9449
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25415
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030084003
—
TX
05
—
098671304
—
TX
Enumeration date
05/10/2006
Last updated
06/24/2013
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