Witeck, Mark

Witeck, Mark is an individual health care provider with primary practice located at 8600 Sheridan Rd Ste 600 Kenosha Div Of Health Lab, Kenosha WI 53143-6515. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Laboratory Management, which is considered as his primary health care specialty. Witeck, Mark can be contacted via phone (262) 605-6700.

Contact Information

Primary practice address
8600 Sheridan Rd Ste 600 Kenosha Div Of Health Lab Kenosha WI 53143-6515
Phone: (262) 605-6700
Fax: (262) 605-6715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Laboratory Management 246QL0900X 28122-20 Wisconsin

Profile Details

NPI number 1811146897
LBN Legal business name Witeck, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2008
Last updated Sep 15th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811146897 NPPES
Wisconsin MEDICAID 32924500

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