Witucki, Gary

Witucki, Gary is an individual health care provider with primary practice located at 1234 Napier Ave , Saint Joseph MI 49085-2112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Witucki, Gary can be contacted via phone (269) 983-8601.

Contact Information

Primary practice address
1234 Napier Ave Saint Joseph MI 49085-2112
Phone: (269) 983-8601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03087 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57339 Wisconsin
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 57339 Wisconsin

Profile Details

NPI number 1184699472
LBN Legal business name Witucki, Gary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Nov 21st, 2019 - about 6 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 1184699472 NPPES
Kentucky MEDICAID 7100075950
Kentucky MEDICAID 3300156
Kentucky Other 000000601505

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