Leadholm-Wittke, Carolyn Dianne

Leadholm-Wittke, Carolyn Dianne is an individual health care provider with primary practice located at 4450 Fashion Square Blvd , Saginaw MI 48603-1251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leadholm-Wittke, Carolyn Dianne can be contacted via phone (989) 792-4090.

Contact Information

Primary practice address
4450 Fashion Square Blvd Saginaw MI 48603-1251
Phone: (989) 792-4090
Fax: (989) 792-4094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704189159 Michigan

Profile Details

NPI number 1124026018
LBN Legal business name Leadholm-Wittke, Carolyn Dianne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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