Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0425754 | KS |
Y | 2080P0208X | Pediatric Infectious Diseases | 0425754 | KS |
NPI | 1275507048 |
---|---|
Provider Name | Robert R Wittler |
First Address | Wichita, KS 67208-3052 |
Second Address | Wichita, KS 67208-3052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 01/02/2022 |