Individual
GREGORY WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 342-3280
Mailing address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4524
SD
Other
Enumeration date
06/24/2006
Last updated
11/05/2007
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