MEDICARE: STEPHANIE JO WITTMAN

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	2255A2300X	Athletic Trainer	700-15	ND

General Provider Information

NPI Number	:	1417552910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE JO WITTMAN

Provider Business Mailing Address
First Line	:	1300 17TH AVE NORTH
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58102
Country	:	US
Telephone Number	:	701-730-6260
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 17TH AVE NORTH
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58102-5810
Country	:	US
Telephone Number	:	701-730-6260
Fax Number	:

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

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	12/02/2020

Similar Medicare Providers

1376881482 — MEGAN MARIE BJONE
Practice Location Address:

1202 WESTRAC DRIVE
FARGO, ND
58103-5810

Practice Phone: 701-280-9545
Practice Fax: 701-280-9520

1568813525 — HALEY SUE NORDSKOG
Practice Location Address:

3175 SIENNA DR S, STE 103 , STE 103
FARGO, ND
58104-5810

Practice Phone: 701-532-1906
Practice Fax: 701-532-1896

1114479375 — PLAINS ANESTHESIA, PLLC
Practice Location Address:

1720 UNIVERSITY DR S , ROUTE 1707
FARGO, ND
58103-5810

Practice Phone: 701-234-1728
Practice Fax: 701-234-1681

1821570912 — HANNAH NICOLE RIEGEL ATC, NREMT, CKTP
Practice Location Address:

1340 ADMINISTRATION AVE
FARGO, ND
58105-5810

Practice Phone: 701-231-8011
Practice Fax:

1215626197 — ITS A PART OF PLLC
Practice Location Address:

5147 44TH ST SOUTH , OFFICE #5
FARGO, ND
58104-5810

Practice Phone: 701-369-3181
Practice Fax:

1780320846 — SARA BENSON
Practice Location Address:

2417 UNIVERSITY DR N UNIT B
FARGO, ND
58102-1820

Practice Phone: 701-227-7999
Practice Fax:

Directions to “ STEPHANIE JO WITTMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.