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NPI Code Detail

MEDICARE: MRS. DENISE MARIE WITKOWSKI RN

MEDICARE: MRS. DENISE MARIE WITKOWSKI RN
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
1163WS0200XSchool Registered NurseRN-20560OH

General Provider Information

NPI Number : 1073937264
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE MARIE WITKOWSKI RN
Provider Business Mailing Address
First Line : 4221 WALKER AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43612-1855
Country : US
Telephone Number : 419-671-3600
Fax Number : 419-671-3645
Provider Business Practice Location Address
First Line : 4221 WALKER AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43612-1855
Country : US
Telephone Number : 419-671-3600
Fax Number : 419-671-3645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2014
Last Update Date : 02/10/2014

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