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1861481699

NPI Code Detail

MEDICARE: PATRICIA RUTH WITTE MD

MEDICARE: PATRICIA RUTH WITTE MD

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	207Q00000X	Family Medicine Physician	20020452	NM
2	207Q00000X	Family Medicine Physician	38146-20	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861481699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA RUTH WITTE MD

Provider Business Mailing Address
First Line	:	675 W WASHINGTON AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53703-2637
Country	:	US
Telephone Number	:	608-257-9700
Fax Number	:	608-258-9042

Provider Business Practice Location Address
First Line	:	675 W WASHINGTON AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53703-2637
Country	:	US
Telephone Number	:	608-257-9700
Fax Number	:	608-258-9042

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

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	06/10/2011

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Directions to “ PATRICIA RUTH WITTE MD” 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.

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