Individual
JANE K WITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4060
(920) 288-4067
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37652
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32222000
—
WI
Enumeration date
07/21/2006
Last updated
04/08/2022
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