Individual
DR. MARK A. WITTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
921 W 36TH ST, SCOTTSBLUFF, NE 69361-5009
(308) 635-3001
(308) 633-1308
Mailing address
921 W 36TH ST, SCOTTSBLUFF, NE 69361-5009
(308) 635-3001
(308) 635-3001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
977
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09694
BC/BS
NE
05
—
47073455800
—
NE
Enumeration date
06/01/2005
Last updated
09/19/2012
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