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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRIAN CHARLES DEWITT, PA

Active

MR. BRIAN CHARLES DEWITT, PA is a Medical Physician Assistant healthcare provider located in MINOCQUA, Wisconsin. NPI 1184979676 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · MINOCQUA, WI

Registration Details

NPI Number
1184979676
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2012 (14.043373345494 yrs)
Last Updated
Nov 14, 2024
Licenses
11169 (MN)
1766 (MN)
8014 (WI)

Practice Information

Address
9576 HWY 70
MINOCQUA, WI, 545489067
Browse WI providers · Browse ZIP 54548
Phone
7153581803
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in MINOCQUA, WI

Name Credential NPI
MRS. STACY LYNN WINTER PAC 1104866763
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.