Individual
ALISON WITTCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MAPLE AVE, MUKWONAGO, WI 53149-8475
(262) 928-1900
Mailing address
240 MAPLE AVE, MUKWONAGO, WI 53149-8475
(262) 928-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64781
WI
Other
Enumeration date
03/26/2014
Last updated
01/07/2019
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