Individual
MR. EDWIN W WITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
9073 DOERCREST DR, SAINT LOUIS, MO 63126-2421
(314) 843-3443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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