Wittingen, Jerry

Wittingen, Jerry is an individual health care provider with primary practice located at 555 Midtowne St Ne Suite 302, Grand Rapids MI 49503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wittingen, Jerry can be contacted via phone (616) 391-3315.

Contact Information

Primary practice address
555 Midtowne St Ne Suite 302 Grand Rapids MI 49503
Phone: (616) 391-3315
Fax: (616) 391-3320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301036869 Michigan

Profile Details

NPI number 1477557031
LBN Legal business name Wittingen, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Sep 30th, 2009 - about 15 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 1477557031 NPPES
Michigan MEDICAID 4736467

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