Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WITACZACK, DO
ActiveMARK WITACZACK, DO is a Diagnostic Radiology healthcare provider located in CHANUTE, Kansas. NPI 1104962182 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · CHANUTE, KS
Registration Details
- NPI Number
- 1104962182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2007 (19.576011514878 yrs)
- Last Updated
- Jul 8, 2007
- License
-
05-20132 (KS)
Practice Information
- Address
-
629 S PLUMMERCHANUTE, KS, 66720Browse KS providers · Browse ZIP 66720
- Phone
- 3163215900
- Fax
- 3163214763
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in CHANUTE, KS
| Name | Credential | NPI |
|---|---|---|
| KEVIN HAMM | DO,PA | 1578657623 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.