Organization
DR. JONATHAN WITZKE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DAVID WITZKE MD (PRESIDENT)
(952) 893-3000
Entity
Organization
Contact information
Practice address
7373 FRANCE AVE S STE 510, EDINA, MN 55435-4551
(952) 893-3000
(952) 830-0091
Mailing address
7373 FRANCE AVE S STE 510, EDINA, MN 55435-4551
(952) 893-3000
(952) 830-0091
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
44145
MN
Other
Enumeration date
07/27/2007
Last updated
08/16/2007
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