Individual
DINA B WITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
311 E MAIN ST STE 409, GALESBURG, IL 61401-4867
(309) 343-6162
(309) 343-3802
Mailing address
311 E MAIN ST STE 409, GALESBURG, IL 61401-4867
(309) 343-6162
(309) 343-3802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.009150
IL
Other
Enumeration date
07/19/2018
Last updated
10/22/2021
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