Provider Demographics
NPI:1245405455
Name:WITTE, KARIN ELISABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:ELISABETH
Last Name:WITTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23255 JENIFER CT
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2952
Mailing Address - Country:US
Mailing Address - Phone:301-690-2726
Mailing Address - Fax:
Practice Address - Street 1:23255 JENIFER CT
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2952
Practice Address - Country:US
Practice Address - Phone:301-690-2726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program