Individual
ROMAN B WITKOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 ENGEL BLVD, PARK RIDGE, IL 60068-4459
(847) 318-6920
Mailing address
512 ENGEL BLVD, PARK RIDGE, IL 60068-4459
(847) 318-6920
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19603
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30659500
—
WI
Enumeration date
09/30/2006
Last updated
09/18/2013
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