Witkovsky, Michael T

Witkovsky, Michael T is an individual health care provider with primary practice located at 301 Troy Dr , Madison WI 53704-1521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Witkovsky, Michael T can be contacted via phone (608) 301-1075.

Contact Information

Primary practice address
301 Troy Dr Madison WI 53704-1521
Phone: (608) 301-1075
Fax: (608) 226-5429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 32400 Wisconsin
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 32400 Wisconsin

Profile Details

NPI number 1629044797
LBN Legal business name Witkovsky, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Oct 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629044797 NPPES
Wisconsin MEDICAID 31769600

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