Individual
DAVID CHARLES DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5320 W MICHAELS DRIVE, APPLETON, WI 54913
(920) 882-8200
(920) 882-8210
Mailing address
5320 W MICHAELS DRIVE, APPLETON, WI 54913
(920) 882-8200
(920) 882-8210
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
43873-20
WI
208600000X
Surgery Physician
43873-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34616400
—
WI
Enumeration date
08/16/2005
Last updated
07/22/2022
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