Individual
ALINA WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22201 MOROSS RD, 270, DETROIT, MI 48236-2169
(313) 343-3481
(313) 343-7937
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3474
(313) 343-7937
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301059393
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3396745
—
MI
01
—
4301059393
CONTROLLED SUBSTANCE
—
01
—
4468567
ECFMG
—
Enumeration date
09/08/2005
Last updated
02/10/2011
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