Individual
GEORGE J. WITTEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
614 1ST ST, WAUSAU, WI 54403-4851
(715) 845-8201
(715) 848-1722
Mailing address
614 1ST ST, WAUSAU, WI 54403-4851
(715) 845-8201
(715) 848-1722
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20653
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30112500
—
WI
Enumeration date
11/25/2005
Last updated
07/08/2007
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