Individual
AARON WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 PARK RIDGE LN, NORTH FOND DU LAC, WI 54937-1385
(920) 926-7800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 926-7800
(920) 921-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4514-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082076
—
WI
01
—
4514-23
PHYSICIAN ASSISTANT LICENSE
WI
Enumeration date
09/18/2018
Last updated
07/25/2023
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