Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1194051565 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 10/20/2009 | ||||
| Last updated | 10/12/2015 - About 11 years ago | ||||
| Identifiers |
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DOMINIKA G WITTEK
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