Individual
GINA R WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7780 ELMWOOD AVE STE 108, MIDDLETON, WI 53562-5407
(608) 820-2500
Mailing address
1118 MIDDLETON ST, MADISON, WI 53717-1077
(608) 820-2500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11568-16
WI
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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