Individual
MS. SUSAN M WITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1275 BELL AVE, HARTFORD, WI 53027-1976
(262) 673-7339
Mailing address
1583 BLUEBELL DR, HARTFORD, WI 53027-8403
(262) 397-8481
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
8686-40
WI
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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