Individual
CHRISTOPHER JACOB WITKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 13TH AVENUE PL NW, HICKORY, NC 28601-2596
(828) 324-1699
(828) 324-0281
Mailing address
221 13TH AVENUE PL NW, HICKORY, NC 28601-2596
(828) 324-1699
(828) 324-0281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45384-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005352
PHYSICIANS PLUS
WI
05
—
34351500
—
WI
05
—
5911820
—
NC
01
—
60101
DEAN HEALTH PLAN
WI
01
—
P00715610
RAILROAD MEDICARE
NC
Enumeration date
04/11/2006
Last updated
03/15/2010
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