Individual
DR. FRANK M. WITTMAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD046113L
PA
207VE0102X
Reproductive Endocrinology Physician
Primary
30771
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001518932
—
PA
05
—
34715600
—
WI
Enumeration date
05/16/2006
Last updated
08/19/2024
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