DR. MARK WITECK M.D. NPI 1811146897

NPI Information

NPI: 1811146897
Provider Name: DR. MARK WITECK, M.D.
Classification: Specialist/Technologist, Pathology - 246QL0900X
Entity Type: Individual

Specialization: Laboratory Management

Address:
8600 SHERIDAN RD STE 600
KENOSHA DIV OF HEALTH LAB
KENOSHA, WI
ZIP 53143
Phone: (262) 605-6700
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DR. Mark Witeck, M.D. is a laboratory management specialist technologist pathology in Kenosha, WI. DR. Mark Witeck, M.D. NPI is 1811146897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8600 SHERIDAN RD STE 600
KENOSHA DIV OF HEALTH LAB
KENOSHA, WI
ZIP 53143-515
Phone: (262) 605-6700
Fax: (262) 605-6715

The enumeration date for this NPI number is 9/15/2008 and was last updated on 9/15/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246QL0900X	Specialist/Technologist, Pathology	Laboratory Management	28122-20	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32924500	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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