DAVID FREDERICK WIDITZ

COUNCIL BLUFFS, IA
NPI1205015906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IL  036166942)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  036166942)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA  37338)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IA  37338)
Enumeration Date2007-10-30
Last Update Date2024-02-01
Business Address
DAVID FREDERICK WIDITZ MD
421 W BROADWAY STE 302
COUNCIL BLUFFS, IA 51503-9046
Phone number: 319-208-2744
Mailing Address
DAVID FREDERICK WIDITZ MD
421 W BROADWAY STE 302
COUNCIL BLUFFS, IA 51503-9046
Phone number: 319-208-2744