Individual
DR. DANIEL ALLEN WITTERSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6300 E LAKE BLVD, SUITE 201, VANCLEAVE, MS 39565-6770
(228) 230-2663
(228) 206-1192
Mailing address
6300 E LAKE BLVD, SUITE 301, VANCLEAVE, MS 39565-6770
(228) 230-2663
(228) 206-1192
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22559
MS
Other
Enumeration date
09/19/2007
Last updated
03/22/2017
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