Organization
PREMIER HEALTH,P.A.
Active
Organization
PREMIER HEALTH,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARTIN WITTE D.C. (PRESIDENT/OWNER)
(651) 739-1905
Entity
Organization
Contact information
Practice address
6861 UPPER AFTON RD, SUITE 102, WOODBURY, MN 55125-4417
(651) 739-1905
(651) 738-5979
Mailing address
6861 UPPER AFTON RD, SUITE 102, WOODBURY, MN 55125-4417
(651) 739-1905
(651) 738-5979
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1584
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
990727100
—
MN
Enumeration date
09/20/2007
Last updated
09/20/2007
Update your record
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