Individual
MATTHEW N WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 W 69TH ST, SIOUX FALLS, SD 57108-2403
(605) 336-0635
(605) 336-7182
Mailing address
201 W 69TH ST, SIOUX FALLS, SD 57108-2403
(605) 336-0635
(605) 336-7182
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5167
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0569301
—
IA
05
—
295488500
—
MN
05
—
7500450
—
SD
01
—
P00047548
RAILROAD MEDICARE
SD
Enumeration date
05/03/2006
Last updated
02/01/2012
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