Individual
DARRELL WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1928 DUBAY DR, MOSINEE, WI 54455-9366
(715) 457-6521
Mailing address
1928 DUBAY DR, MOSINEE, WI 54455-9366
(715) 457-6521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16087-020
WI
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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