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Individual

DR. JOHN M WITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 E ROSSER AVE, BISMARCK, ND 58501-4414
(701) 530-6000
(701) 530-6430
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-6000
(701) 530-6430

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5469
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15640
ND
01
160018358
MEDICARE RAILROAD
ND
Enumeration date
06/16/2006
Last updated
06/30/2010
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