Provider Demographics
NPI:1922202258
Name:WITZKE, KARLA D (DO)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:D
Last Name:WITZKE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:4000 WELLNESS DR CHRISTIE BLDG
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48670-2000
Mailing Address - Country:US
Mailing Address - Phone:989-839-1386
Mailing Address - Fax:989-839-3324
Practice Address - Street 1:4201 CAMPUS RIDGE DR STE 3400
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6132
Practice Address - Country:US
Practice Address - Phone:989-839-1386
Practice Address - Fax:989-839-3324
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2019-06-21
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Provider Licenses
StateLicense IDTaxonomies
MI5101016281208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology