Organization
VENUS WITTENAUER, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENUS WITTENAUER D.O. (PRESIDENT)
(330) 426-3578
Entity
Organization
Contact information
Practice address
1517 N MARKET ST, EAST PALESTINE, OH 44413-1153
(330) 426-3578
(330) 426-2458
Mailing address
PO BOX 489, EAST PALESTINE, OH 44413-0489
(330) 426-3578
(330) 426-2458
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
34006914M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076524
—
OH
Enumeration date
06/06/2011
Last updated
06/06/2011
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