Individual
MARIE A DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
51953-20
WI
2084P0805X
Geriatric Psychiatry Physician
003490
GA
2084P0805X
Geriatric Psychiatry Physician
Primary
63578
GA
Other
Enumeration date
04/12/2008
Last updated
11/30/2018
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