Organization
JONATHANDWITZKEMD, PLLC
Active
Other names
Muldowney, Migliori and Witzke
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DAVID WITZKE MD (PRESIDENT)
(952) 925-1111
Entity
Organization
Contact information
Practice address
7450 FRANCE AVE S STE 220, EDINA, MN 55435-4792
(952) 925-1111
(952) 922-3446
Mailing address
8170 33RD AVE, MS: 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-8290
(651) 254-8299
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
11/16/2023
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