GREGORY WITTENBERG

RAPID CITY, SD
NPI1760418420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: SD  4524)
Enumeration Date2006-06-24
Last Update Date2007-11-05
Business Address
-- GREGORY WITTENBERG
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701-5462
Phone number: 605-342-3280
Mailing Address
-- GREGORY WITTENBERG
2820 MOUNT RUSHMORE RD
RAPID CITY, SD 57701-5462
Phone number: