Provider Demographics
NPI:1275507048
Name:WITTLER, ROBERT R (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:WITTLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3243 E MURDOCK ST
Mailing Address - Street 2:SUITE #500
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-3052
Mailing Address - Country:US
Mailing Address - Phone:316-962-2080
Mailing Address - Fax:316-962-2079
Practice Address - Street 1:3243 E MURDOCK ST
Practice Address - Street 2:SUITE #500
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-3052
Practice Address - Country:US
Practice Address - Phone:316-962-2080
Practice Address - Fax:316-962-2079
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2022-02-01
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Provider Licenses
StateLicense IDTaxonomies
KS0425754208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G15217Medicare UPIN