Diane M Witek, M.D.

NPI #1316157779 in Jackson, Wisconsin

Provider Information

NPI Number: 1316157779
Entity Type: Individual
Name: Diane M Witek, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 23, 2007
Last Updated: Apr 1, 2013

Practice Location

Address: W225N16711 CEDAR PARK CT
City: Jackson
State: Wisconsin
ZIP Code: 53037-9222
Phone: (262) 677-1101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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