Whalio Doctors

NPI 1811146897

Mark Witeck, MD

Practitioner Laboratory Management Specialist/Technologist Kenosha, WI

Practice location

Address
8600 Sheridan Rd STE 600 Kenosha Div of Health Lab, Kenosha, WI 53143-6515
Phone
(262) 605-6700
Fax
(262) 605-6715

Registered specialties

Laboratory Management Specialist/Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 246QL0900X Licence 28122-20 (WI)

Registry record

NPI
1811146897
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Sep 2008
Record last updated
15 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.