Individual
DR. JOSEPH EDWARD DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4600 S HAGADORN RD, #500, EAST LANSING, MI 48823-5306
(517) 884-4554
(517) 884-4556
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS014230
PA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
5101019945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659522324
—
MI
Enumeration date
09/30/2008
Last updated
06/07/2021
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