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General NPI Number Information
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NPI Number | 1740147974
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Entity Type | Individual
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Provider Name | MICHAEL WITZKE MSW, APSW
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Gender | Male
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 204 S ORANGE ST
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City | RICHLAND CENTER
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State | WI
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Zip | 53581-2170
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Country | US
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Telephone | 608-383-1261
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Fax |
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Provider Business Mailing Address
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Address Line | 5145 COUNTY ROAD MM
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City | LA CROSSE
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State | WI
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Zip | 54601-2341
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Country | US
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Telephone | 608-383-1261
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 131300-121
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License Number State | WI
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