Individual
ELIZABETH ALICE WITCHGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1000 WEST 140TH STREET, SUITE 201, BURNSVILLE, MN 55337
(952) 808-3000
(952) 808-3001
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10176
MN
Other
Enumeration date
08/16/2006
Last updated
09/19/2012
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