Individual
DR. ILSA WEYER ITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1460 N CENTER RD, BURTON, MI 48509-1429
(810) 695-9996
Mailing address
1460 N CENTER RD, BURTON, MI 48509-1429
(810) 695-9996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101019262
MI
Other
Enumeration date
05/18/2011
Last updated
11/04/2014
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