Individual
DR. MADISON JO WITTHOFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1934 WALNUT ST, MURPHYSBORO, IL 62966-1910
(618) 565-1406
(618) 684-8641
Mailing address
PO BOX 38, MURPHYSBORO, IL 62966-0038
(618) 993-5686
(618) 993-0031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011977
IL
152W00000X
Optometrist
18004276A
IN
Other
Enumeration date
06/24/2021
Last updated
03/24/2026
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