Individual
DAVID DEWITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-0483
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301054270
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2572006
—
MI
01
—
350F361320
BCBSM
MI
Enumeration date
03/22/2006
Last updated
07/15/2022
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