Individual
KRISTINA NICOLE WITTROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6630 MILLS CIVIC PKWY UNIT 6120, WEST DES MOINES, IA 50266-8371
(515) 225-6447
(515) 226-2347
Mailing address
6630 MILLS CIVIC PKWY UNIT 6120, WEST DES MOINES, IA 50266-8371
(515) 225-6447
(515) 226-2347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA002409
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KW003876
BCBSM PIN
MI
Enumeration date
10/07/2005
Last updated
12/28/2024
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