Individual
MARY E WITTKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 457-6566
Mailing address
32 CURTIS CT, BROOMFIELD, CO 80020-1102
(303) 466-2119
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
48590
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003835
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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