Individual
EMILY WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909
(719) 365-1292
(719) 365-6997
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
(719) 365-6997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0062211
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5151012465
—
MI
Enumeration date
03/22/2016
Last updated
06/24/2020
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