Individual
DR. WAYNE EDWARD WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
224 N 76 ST, MILWAUKEE, WI 53213-3554
(414) 476-6750
Mailing address
224 N 76 ST, MILWAUKEE, WI 53213-3554
(414) 476-6750
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4001655015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33532400
—
WI
Enumeration date
12/14/2006
Last updated
07/08/2007
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