Individual
STEPHEN R DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2702 MONROE ST, MADISON, WI 53711-1888
(608) 231-3370
(608) 231-1547
Mailing address
105 CLARMAR DR, SUN PRAIRIE, WI 53590-2675
(608) 318-5929
(608) 318-5922
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2488
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38844800
—
WI
Enumeration date
08/18/2005
Last updated
06/27/2024
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