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1104012566
DANIEL ALLEN WITTERSHEIM
VANCLEAVE, MS
NPI
1104012566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MS 22559)
Enumeration Date
2007-09-19
Last Update Date
2017-03-22
Business Address
DR. DANIEL ALLEN WITTERSHEIM MD
6300 E LAKE BLVD SUITE 201
VANCLEAVE, MS 39565-6770
Phone number: 228-230-2663
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Mailing Address
DR. DANIEL ALLEN WITTERSHEIM MD
6300 E LAKE BLVD SUITE 301
VANCLEAVE, MS 39565-6770
Phone number: 228-230-2663
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