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1578553483
CONRAD WITTRAM
COEUR D ALENE, ID
NPI
1578553483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MA 208156)
Enumeration Date
2005-10-24
Last Update Date
2012-11-07
Business Address
Dr. CONRAD WITTRAM MBChB
601 E FRONT AVE SUITE 502
COEUR D ALENE, ID 83814-2701
Phone number: 208-415-0556
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Mailing Address
Dr. CONRAD WITTRAM MBChB
601 E FRONT AVE SUITE 502
COEUR D ALENE, ID 83814-2701
Phone number: 208-415-0556
Copy
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