Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY WITUCKI, D.O.
ActiveDR. GARY WITUCKI, D.O. is a 2083P0011X healthcare provider located in SAINT JOSEPH, Michigan. NPI 1184699472 is currently active in the NPPES registry. Verify at CMS.
2083P0011X · SAINT JOSEPH, MI
Registration Details
- NPI Number
- 1184699472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2006 (20.476887625104 yrs)
- Last Updated
- Oct 30, 2024
- Licenses
-
03087 (KY)57339 (WI)57339 (WI)5101011763 (MI)
Practice Information
- Address
-
1234 NAPIER AVESAINT JOSEPH, MI, 490852112Browse MI providers · Browse ZIP 49085
- Phone
- 2699838601
- Primary Specialty
-
2083P0011X
2083P0011X
- Additional Specialty
- Family Medicine
- Additional Specialty
- 2083P0011X
- Additional Specialty
- 2083P0011X
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.