Individual
MARK WIITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
1001 E SUPERIOR ST STE L401, DULUTH, MN 55802-2207
(218) 249-7960
(218) 249-7997
Mailing address
1001 E SUPERIOR ST STE L401, DULUTH, MN 55802-2207
(218) 249-7960
(218) 249-7997
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3981
MN
363LF0000X
Family Nurse Practitioner
R210059-7
MN
Other
Enumeration date
05/14/2015
Last updated
01/19/2021
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