Individual
ISAAC WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7510 N 117TH CIR, OMAHA, NE 68142-1615
(402) 934-8369
Mailing address
7510 N 117TH CIR, OMAHA, NE 68142-1615
(402) 934-8369
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
18589
NE
207Q00000X
Family Medicine Physician
18589
NE
Other
Enumeration date
04/18/2007
Last updated
08/01/2012
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