Individual
JERRY ALLAN WITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 16TH ST STE 7, BAY CITY, MI 48708-7609
(800) 840-3147
Mailing address
808 SHADY LN, AU GRES, MI 48703-9753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
N308429
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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