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Contact Information

SUZANNE T WITTERHOLT, MD
9055 SPRINGBROOK DR NW
COON RAPIDS, MN55433-5841
 Phone: 763-780-9155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SUZANNE T WITTERHOLT · (Female)

NPI Number 1013018688
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2006
Last updated 03/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 35882
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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