Individual
MR. ZACHARY JOESPH WITGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
4 MEMORIAL DR STE 230, ALTON, IL 62002-6704
(618) 463-7874
(314) 996-7658
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-8512
(618) 234-2390
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2024043178
MO
363L00000X
Nurse Practitioner
Primary
209029825
IL
363LA2200X
Adult Health Nurse Practitioner
209.029825
IL
Other
Enumeration date
06/18/2024
Last updated
09/19/2025
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