MEDICARE: JO ANNA WITTER 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	18840	NE

General Provider Information

NPI Number	:	1942239421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JO ANNA WITTER MD

Provider Business Mailing Address
First Line	:	358 S 10TH
Second Line	:	PO BOX 110
City	:	DAVID CITY
State	:	NE
Zip	:	68632-2116
Country	:	US
Telephone Number	:	402-367-3322
Fax Number	:	402-367-3311

Provider Business Practice Location Address
First Line	:	358 S 10
Second Line	:
City	:	DAVID CITY
State	:	NE
Zip	:	68632-2116
Country	:	US
Telephone Number	:	402-367-3322
Fax Number	:	402-367-3311

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	04/01/2024

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