Individual
DR. ERICA DANELLE WITTWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
103883
MN
207L00000X
Anesthesiology Physician
Primary
51463
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P01210656
MEDICARE RAILROAD
MN
Enumeration date
07/16/2007
Last updated
08/04/2020
Update your record
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