Individual
MR. BRIAN CHARLES DEWITT
Active
Individual
MR. BRIAN CHARLES DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11169
MN
363AM0700X
Medical Physician Assistant
1766
MN
363AM0700X
Medical Physician Assistant
Primary
8014
WI
Other
Enumeration date
07/20/2012
Last updated
07/22/2026
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