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Individual

DR. ALAN L. WITTENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
17929 EUCLID AVE, CLEVELAND, OH 44112-1221
(216) 481-1890
(216) 481-1892
Mailing address
17929 EUCLID AVE, CLEVELAND, OH 44112-1221
(216) 481-1890
(216) 481-1892

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.001518
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
PO815
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0150492
OH
Enumeration date
12/09/2005
Last updated
11/15/2012
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