Provider Demographics
NPI:1700312162
Name:WITTE, ROBERT (PA)
Entity Type:Individual
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First Name:ROBERT
Middle Name:
Last Name:WITTE
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Gender:M
Credentials:PA
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Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:#800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-1994
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:1601 BRIGHAM DR
Practice Address - Street 2:#120
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-7114
Practice Address - Country:US
Practice Address - Phone:419-872-7703
Practice Address - Fax:419-872-1704
Is Sole Proprietor?:No
Enumeration Date:2017-05-04
Last Update Date:2023-11-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant