Individual
MR. MARCUS MICHAEL WITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4300 SOUTH LAKEPORT ROAD, SUITE 101, SIOUX CITY, IA 51106
(712) 266-0707
(712) 266-0709
Mailing address
3325 N 129TH CIR, OMAHA, NE 68164-4239
(402) 616-3437
(402) 496-3595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01862
IA
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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