Mark Richard Wittchow, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in La Crosse, WI. Individual provider (NPI-1).
NPI number1083175087
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1083175087
- Entity type
- Individual (NPI-1)
- Name
- Mark Richard Wittchow
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2019
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 6001325 | WI | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DDS-09955 | IA |
Practice location
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in La Crosse, WI
- Great River Orthodontic Specialists, ScNPI 1124573902
- Holly J Grimslid, DMD, MSNPI 1023348729
- Gerald Heim, D.D.S.NPI 1326095415
- Michael Steven Mosling, D.D.S., M.S.NPI 1902024110
- John A Patterson, DDSNPI 1336144708
All 6 Orthodontics and Dentofacial Orthopedics Dentistry providers in La Crosse · All 4,035 providers in La Crosse
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