Melissa Witteveen, PA-C

NPI #1407106057 in Kodiak, Alaska

Provider Information

NPI Number: 1407106057
Entity Type: Individual
Name: Melissa Witteveen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 11, 2012
Last Updated: Jan 3, 2019

Practice Location

Address: 1911 E REZANOF DR
City: Kodiak
State: Alaska
ZIP Code: 99615-6602
Phone: (907) 481-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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