Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 31959 | WI |
NPI | 1023179066 |
---|---|
Provider Name | Dr. David E Pittenger |
First Address | Janesville, WI 53548-2907 |
Second Address | Janesville, WI 53548-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 23/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
31718800 | (05) | WI |
F74669 | (02) |