Individual
KATIE JO WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13911 RIDGEDALE DR, SUITE 350, MINNETONKA, MN 55305-1771
(952) 932-9012
(952) 932-7122
Mailing address
13911 RIDGEDALE DR, SUITE 350, MINNETONKA, MN 55305-1771
(952) 932-9012
(952) 932-7122
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1465356
MN
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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