Individual
BRIAN L WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
59876
WI
208D00000X
General Practice Physician
5101017014
MI
Other
Enumeration date
06/12/2007
Last updated
07/12/2022
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