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Contact Information

WILLIAM H WYTTENBACH, MD
16329 S. TAMIAMI TRAIL
FORT MYERS, FL33908
 Phone: 239-949-7246
 Fax: 239-949-7236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM H WYTTENBACH · (Male)

NPI Number 1053360420
Status Active
Credentials MD
Entity Individual
Enumeration date 05/10/2006
Last updated 06/24/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 25415
  • TX License # H9449
  • TX Medicaid 030084003
  • TX Medicaid 098671304
Hospital affiliation(s) Not Available
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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