Individual
DR. MICHAEL ROBERT WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
470 MAXWELL PLZ, OMAHA, NE 68154-2997
(402) 235-4446
Mailing address
470 MAXWELL PLZ, OMAHA, NE 68154-2997
(402) 235-4446
(971) 364-0610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2392
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0598961
—
IA
01
—
39594
BLUE CROSS BLUE SHIELD
NE
Enumeration date
11/22/2005
Last updated
11/03/2022
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