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DR. JONATHAN DAVID WITZKE M.D. NPI 1093838617


NPI Information

NPI: 1093838617
Provider Name: DR. JONATHAN DAVID WITZKE, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: HENNEPIN HEALTHCARE SYSTEM INC

PECOS Registration: Yes

Address:
401 PHALEN BLVD
SAINT PAUL, MN
ZIP 55130
Phone: (651) 254-8290
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DR. Jonathan David Witzke, M.D. is a plastic and reconstructive surgery surgery in Saint Paul, MN with 25 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Jonathan David Witzke, M.D. NPI is 1093838617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1999

The provider's business location address is:

401 PHALEN BLVD
SAINT PAUL, MN
ZIP 55130-302
Phone: (651) 254-8290
Fax: (651) 254-8299

The NPI 1093838617 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery44145MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.