William Allen Wittchow in Fridley - Physician Assistant
William Allen Wittchow - NPI 1124128525
William Allen Wittchow is a Physician Assistant in Fridley, Minnesota. William Allen Wittchow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William Allen Wittchow is 1124128525. The last update date is 2007-07-09.
William Allen Wittchow's current location address is 6401 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635725710 and fax number 7635713008. The mailing address for William Allen Wittchow is 6401 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Allen Wittchow |
|---|---|
| Address | 6401 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124128525 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6401 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554324341 |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9684 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1029890 | MN | PREFERRED ONE | |
| 6605097 | MN | MEDICA URGENT CARE | |
| 251J4WI | FM | BCBS OF MN | |
| HP33986 | MN | HEALTHPARTNERS | |
| 104929 | MN | UCARE MN | |
| 25878 | MN | AMERICA'S PPO | |
| 110259 | MN | MEDICA |
Post Comment/ Review Below
What is the William Allen Wittchow's 1124128525?
The William Allen Wittchow's NPI (National Provider Identifier) Number is 1124128525. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the William Allen Wittchow located?
The William Allen Wittchow is located at 6401 University Ave Ne, Fridley, MN 554324341.
What is the William Allen Wittchow's specialty and taxonomy code?
The William Allen Wittchow's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the William Allen Wittchow receive its 1124128525?
The William Allen Wittchow was issued its 1124128525 on 2006-09-25, which is the date when the organization was assigned this unique identifier.
As of what date were the William Allen Wittchow's details last updated?
The information pertaining to the William Allen Wittchow, including its address, specialty, and other details, was most recently updated on 2007-07-09.