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Individual

ANTHONY J. WITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1432 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-4337
Mailing address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-2020

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082403A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01082403A
MEDICAL LICENSE
IN
Enumeration date
06/03/2016
Last updated
07/05/2024
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