Individual
DR. CHAD MARK WITKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4279 W VIENNA RD, CLIO, MI 48420-9440
(810) 659-1721
(810) 659-1721
Mailing address
4279 W VIENNA RD, CLIO, MI 48420-9440
(810) 659-1721
(810) 659-0897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018384
MI
Other
Enumeration date
01/18/2007
Last updated
09/14/2020
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