Individual
WILLIAM L. WITTMAN
Active
Individual
WILLIAM L. WITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22970
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000818
MEDICAID ASC GRP
KY
01
—
37903705
MEDICAID LAB GRP
KY
01
—
4000501
MEDICARE LAB GRP
KY
05
—
64229701
—
KY
01
—
ASC1019
MEDICARE ASC GRP
KY
01
—
CB5773
RR MEDICARE GRP
GA
Enumeration date
07/26/2006
Last updated
11/02/2007
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