Timothy J Wittenauer


Address: 108 Walton Park Ln, Midlothian, VA 23114-3028

Timothy J Wittenauer (NPI# 1417933953, PAC ID# 1254317779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1417933953
PAC ID by PECOS 1254317779
Professional Enrollment ID I20111222000489
Full Name Timothy J Wittenauer
Address 108 Walton Park Ln
Midlothian
VA 23114-3028
Gender M
Graduation Year 1993
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
108 Walton Park Ln, Midlothian, VA 23114-3028

Organization Information

Office Location

Street Address 108 WALTON PARK LN
City MIDLOTHIAN
State VA
Zip 23114-3028

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Competitor

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City MIDLOTHIAN
Zip Code 23114
Specialty PHYSICAL THERAPY
City + Specialty MIDLOTHIAN + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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