Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID FREDERICK WIDITZ, MD
ActiveDAVID FREDERICK WIDITZ, MD is a Psychiatric Neurology healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1205015906 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · COUNCIL BLUFFS, IA
Registration Details
- NPI Number
- 1205015906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2007 (18.799289015825 yrs)
- Last Updated
- Feb 1, 2024
- Licenses
-
036166942 (IL)37338 (IA)37338 (IA)036166942 (IL)
Practice Information
- Address
-
421 W BROADWAY STE 302COUNCIL BLUFFS, IA, 515039046Browse IA providers · Browse ZIP 51503
- Phone
- 3192082744
- Fax
- 3192082627
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Psychiatric Neurology
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.