Organization
ALAN L WITTENBERG DPM INC
Active
Other names
Alan L Wittenberg DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN L WITTENBERG DPM (OWNER)
(216) 481-1890
Entity
Organization
Contact information
Practice address
17929 EUCLID AVE, CLEVELAND, OH 44112-1221
(216) 481-1890
(216) 481-1892
Mailing address
17929 EUCLID AVE, CLEVELAND, OH 44112
(216) 481-1890
(216) 481-1892
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001516
OH
213E00000X
Podiatrist
PO815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129597
ANTHEMBCBS
OH
05
—
0150492
—
OH
Enumeration date
03/01/2007
Last updated
11/15/2012
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