Individual
MARK T. WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL PLZ, GRAFTON, WV 26354-1283
(304) 265-7406
(304) 265-6443
Mailing address
709 MAPLE AVE, GRAFTON, WV 26354-1823
(304) 265-4131
(304) 265-6443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16996
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053404000
—
WV
Enumeration date
09/13/2005
Last updated
03/05/2014
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