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Individual

MR. TIMOTHY JON WITTWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, MSN, FNP

Contact information

Practice address
5000 W NATIONAL AVE, INPATIENT MENTAL HEALTH, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 382-5295
Mailing address
515 S 32ND AVE, WAUSAU, WI 54401-4074
(414) 384-2000
(414) 382-5295

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1314-033
WI

Other

Enumeration date
07/05/2005
Last updated
12/27/2019
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