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

FREDRICK C WITTLEDER, PA

Active

FREDRICK C WITTLEDER, PA is a Surgical Physician Assistant healthcare provider located in OAK PARK HEIGHTS, Minnesota. NPI 1205195088 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · OAK PARK HEIGHTS, MN

Registration Details

NPI Number
1205195088
Provider Type
Individual
Gender
Male
NPI Issued
May 14, 2012 (14.241186363168 yrs)
Last Updated
Oct 30, 2023
License
10749979-1206 (UT)

Practice Information

Address
5803 NEAL AVE N
OAK PARK HEIGHTS, MN, 550822177
Browse MN providers · Browse ZIP 55082
Phone
6514398807
Fax
6514390232
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Surgical Physician Assistant Providers in OAK PARK HEIGHTS, MN

Name Credential NPI
RUSSELL A MCGILL OPA-C 1558368985
MRS. JENNIFER ANN STANEK MS, PAC 1063412112
WILLIAM JOSEPH OHL OPAC 1457322984
SIMON HENRY LUETH PAC 1215357108
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.