Individual
FREDERICK R WITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01040421A
IN
208800000X
Urology Physician
Primary
23489
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201011460
—
IN
05
—
64234891
—
KY
01
—
P00304320
RAILROAD MEDICARE
KY
01
—
P00895255
RAILROAD MEDICARE
KY
Enumeration date
08/24/2005
Last updated
09/25/2017
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