Chad Mark Witkow in Clio - General Practice

Chad Mark Witkow - NPI 1316099179

Chad Mark Witkow is a General Practice in Clio, Michigan. Chad Mark Witkow practices all healthcare services and medical treatments related to General Practice. The NPI Number for Chad Mark Witkow is 1316099179. The last update date is 2020-09-14.

Chad Mark Witkow's current location address is 4279 W Vienna Rd, Clio, Michigan. You can contact this provider via phone number 8106591721 and fax number 8106590897. The mailing address for Chad Mark Witkow is 4279 W Vienna Rd, Clio, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Chad Mark Witkow
Address 4279 W Vienna Rd, Clio, Michigan
Phone Number 8106591721
Fax Number 8106590897
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1316099179
Provider Enumeration Date 2007-01-18
Last Updated Date 2020-09-14

Provider Mailing Address Detail

Address 4279 W Vienna Rd
City Clio
State Michigan (MI)
Post Code 484209440
Phone Number 8106591721
Fax Number 8106590897

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2901018384
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Chad Mark Witkow

What is the unique 10-digit identifier code assigned to Chad Mark Witkow by the Centers for Medicare & Medicaid Services?

The Chad Mark Witkow has been issued the NPI (National Provider Identifier) 1316099179 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Chad Mark Witkow located?

The Chad Mark Witkow is located at 4279 W Vienna Rd, Clio, MI 484209440.

What is the area of specialization for Chad Mark Witkow, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Chad Mark Witkow is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Chad Mark Witkow receive its 1316099179 assignment from the Centers for Medicare & Medicaid Services?

The Chad Mark Witkow was assigned its 1316099179 by the Centers for Medicare & Medicaid Services on 2007-01-18.

When was the information related to Chad Mark Witkow most recently updated or refreshed?

The details pertaining to the Chad Mark Witkow, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-09-14.

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