Individual
MR. TIM WITTSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 KAUFMANN AVE, DUBUQUE, IA 52001-3700
(563) 590-6560
Mailing address
2100 KAUFMANN AVE, DUBUQUE, IA 52001-3700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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