National Provider Identifier Database

MARK WITACZACK, DO – NPI #1104962182
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

MARK WITACZACK, DO
629 S PLUMMER
CHANUTE, KS66720
Phone: 316-321-5900
Fax: 316-321-4763
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for MARK WITACZACK

NPI Number 1104962182
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/29/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 05-20132
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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