Organization
JONATHANDWITZKEMD, PLLC
Active
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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