Individual
DR. JULIE KAY WITTENAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 6017B, SAINT LOUIS, MO 63141
(314) 251-4659
Mailing address
621 S NEW BALLAS RD STE 6017B, SAINT LOUIS, MO 63141-8274
(314) 251-4659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.123288
IL
207Q00000X
Family Medicine Physician
Primary
2013019670
MO
208M00000X
Hospitalist Physician
036.123288
IL
Other
Enumeration date
04/18/2007
Last updated
07/31/2018
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