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1124128525
WILLIAM ALLEN WITTCHOW
FRIDLEY, MN
NPI
1124128525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9684)
Enumeration Date
2006-09-25
Last Update Date
2007-07-09
Business Address
-- WILLIAM ALLEN WITTCHOW PA-C
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432-4946
Phone number: 763-572-5710
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Mailing Address
-- WILLIAM ALLEN WITTCHOW PA-C
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432-4341
Phone number: 763-572-5710
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