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Individual

STEVEN PHILIP WITTMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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