Individual
MR. ANDREW WILLIAM WITTCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
965 PRAIRIE CENTER DR STE 200, EDEN PRAIRIE, MN 55344-3671
(952) 995-8780
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15130
MN
Other
Enumeration date
09/28/2015
Last updated
12/31/2024
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