MEDICARE: DR. DAVID WILLIAM BITTER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor	1605	WI

General Provider Information

NPI Number	:	1154674794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID WILLIAM BITTER D.C.

Provider Business Mailing Address
First Line	:	49 AIRPORT AVE
Second Line	:
City	:	WISCONSIN RAPIDS
State	:	WI
Zip	:	54494-5701
Country	:	US
Telephone Number	:	715-421-1063
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 AIRPORT AVE
Second Line	:
City	:	WISCONSIN RAPIDS
State	:	WI
Zip	:	54494-5701
Country	:	US
Telephone Number	:	715-421-1063
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2012
Last Update Date	:	10/19/2012

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Directions to “ DR. DAVID WILLIAM BITTER D.C.” Practice Location

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