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Individual

DR. DAVID J WITTBRODT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1169 N MAIN ST STE 7, BLUFFTON, IN 46714-1362
(260) 846-1000
(260) 846-1039
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 482-5060

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01046139
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200124490
IN
05
2646604
OH
01
P00314327
RAIL ROAD MEDICARE
IN
Enumeration date
04/06/2006
Last updated
04/18/2025
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