Provider Demographics
NPI:1508207580
Name:WITTGREN, CHRISTOPHER A (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:A
Last Name:WITTGREN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:407 BURKARTH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-3101
Mailing Address - Country:US
Mailing Address - Phone:660-747-2228
Mailing Address - Fax:660-747-7677
Practice Address - Street 1:407 BURKARTH RD STE 201
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-3101
Practice Address - Country:US
Practice Address - Phone:660-747-2228
Practice Address - Fax:660-747-7677
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2013023208207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery