Individual
DR. THOMAS ARNO WITTKOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000
Mailing address
345 SOUTHSHORE DR, GREENBACK, TN 37742-2301
(218) 831-1535
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19817
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118773200
—
MN
Enumeration date
01/25/2006
Last updated
11/30/2017
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