Individual
BLAKE EDWARD WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1932 ALCOA HWY STE 360, KNOXVILLE, TN 37920-1509
(865) 524-1869
Mailing address
1932 ALCOA HWY STE 360, KNOXVILLE, TN 37920-1509
(865) 524-1869
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
73245
TN
207T00000X
Neurological Surgery Physician
DR.0066896
CO
Other
Enumeration date
04/14/2018
Last updated
06/17/2025
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