Dr. Jonathan David Witzke
Plastic and Reconstructive Surgery
401 Phalen Blvd
Saint Paul
, Minnesota 55130-5302
Dr. Jonathan David Witzke
Plastic and Reconstructive Surgery
401 Phalen Blvd
Saint Paul
, Minnesota 55130-5302
(651) 254-8299
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Jonathan David Witzke
- 8170 33rd Ave Ms: 21110q
- Bloomington, MN
- Zip : 55425-4516
- Fax : (651) 254-8299
- Phone : (651) 254-8290
Second Address
- Dr. Jonathan David Witzke
- 401 Phalen Blvd
- Saint Paul, MN
- Zip : 55130-5302
- Fax : (651) 254-8299
- Phone : (651) 254-8290
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 44145 | MN |
National Provider Identifier
| NPI | 1093838617 |
|---|---|
| Provider Name | Dr. Jonathan David Witzke |
| First Address | Bloomington, MN 55425-4516 |
| Second Address | Saint Paul, MN 55130-5302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2007 |
| Last Update Date | 02/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.