Individual
STEVEN PHILIP WITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 S INGLESIDE ST STE 6, FAIRHOPE, AL 36532-1804
(251) 990-1740
(251) 990-1831
Mailing address
150 S INGLESIDE ST STE 6, FAIRHOPE, AL 36532-1804
(251) 990-1740
(251) 990-1831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-065551
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9401098
MEDICAL LICENSE
NC
01
—
P00391427
RR MEDICARE
NC
Enumeration date
06/10/2005
Last updated
06/09/2020
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