Individual
DR. KRISTAN LEE WITTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
5120 28TH ST SE, GRAND RAPIDS, MI 49512-2049
(616) 222-4890
(616) 222-4890
Mailing address
5120 28TH ST SE, GRAND RAPIDS, MI 49512-2049
(616) 222-4890
(616) 222-4890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033864
MI
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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