Individual
MICHELLE A NEBEN WITTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46808
MN
2085R0001X
Radiation Oncology Physician
Primary
46808
MN
2085R0202X
Diagnostic Radiology Physician
46808
MN
Other
Enumeration date
12/27/2005
Last updated
08/19/2020
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