Blake Edward Wittenberg, MD
Neurological Surgery in Knoxville, TN. Individual provider (NPI-1).
NPI number1982191003
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1982191003
- Entity type
- Individual (NPI-1)
- Name
- Blake Edward Wittenberg
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2018
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | 73245 | TN | Yes |
| 207T00000X | Neurological Surgery | DR.0066896 | CO |
Practice location
1932 Alcoa Hwy Ste 360Knoxville, TN 37920-1509
Phone 865-524-1869
Mailing address
1932 Alcoa Hwy Ste 360Knoxville, TN 37920-1509
Phone 865-524-1869
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All 40 Neurological Surgery Physician providers in Knoxville · All 17,212 providers in Knoxville
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