Individual
DR. MICHAEL ANTHONY WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 N FAIRFIELD RD., STE 110, BEAVERCREEK, OH 45432-4543
(937) 426-0106
(937) 426-7153
Mailing address
25 MERCHANT STREET, SUITE 220, CINCINNATI, OH 45246-3740
(513) 533-6507
(513) 645-9767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26045
GA
207Q00000X
Family Medicine Physician
Primary
35122511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00283621A
—
GA
05
—
0120611
—
OH
Enumeration date
05/17/2006
Last updated
01/25/2021
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