Individual
DR. MICHAEL T WITKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 TROY DR, MADISON, WI 53704-1521
(608) 301-1075
(608) 226-5429
Mailing address
301 W TROY, MENDOTA MENTAL HEALTH INSTITUTE, MADISON, WI 53704-1187
(608) 301-1075
(608) 226-5429
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
32400
WI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
32400
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31769600
—
WI
Enumeration date
02/27/2006
Last updated
10/24/2016
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