Individual
MR. KEITH A WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3284 MAIN ST, EAST TROY, WI 53120-1152
(262) 642-3510
(262) 642-3512
Mailing address
3284 MAIN ST, P.O. BOX 255, EAST TROY, WI 53120-1152
(262) 642-3510
(262) 642-3512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-033918
IL
183500000X
Pharmacist
Primary
11834-040
WI
Other
Enumeration date
11/08/2005
Last updated
03/19/2013
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