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Contact Information

BRIAN D WITTENBERG
4048 CEDAR BLUFF DR
SUITE 1
PETOSKEY, MI49770-8895
 Phone: 231-347-5155
 Fax: 231-347-6128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BRIAN D WITTENBERG

NPI # 1477847564
LBN Legal business name BRIAN D WITTENBERG
Authorized official BRIAN WITTENBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2011
Last updated 06/06/2011 - About 15 years ago
Identifiers
MI License # 4301054711
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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