Individual
MR. BRANDON VICTOR WITENZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-7505
Mailing address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-4912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
432173
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432173
NY
Other
Enumeration date
10/10/2021
Last updated
07/17/2023
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