Individual
DANIELLE RENE WITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
620 W LEXINGTON ST STE 5110, BALTIMORE, MD 21201-1508
(410) 777-1881
Mailing address
1700 PERRY COVE RD, PASADENA, MD 21122-3741
(410) 292-2190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008204
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/20/2020
Last updated
11/30/2021
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