Individual
NANCY J WITTSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307-1863
(248) 652-5354
Mailing address
26360 VINCENNES AVE, FRANKLIN, MI 48025-1756
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704063537
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2851076
—
MI
Enumeration date
12/01/2006
Last updated
07/08/2007
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