Individual
MICHAEL JAMES WITTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6307 HAZELWEST CT, SUITE 200, HAZELWOOD, MO 63042-1739
(314) 895-3222
(314) 895-8725
Mailing address
6307 HAZELWEST CT, SUITE 200, HAZELWOOD, MO 63042-1739
(314) 895-3222
(314) 895-8725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004504
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14206
BLUE CROSS/BLUE SHIELD
MO
Enumeration date
07/11/2006
Last updated
07/08/2007
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