| Doctor Name: | SUZANNE T WITTERHOLT |
| NPI Number: | 1013018688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 35882 |
| Business Practice Address: | 3301 7 Ave No Anoka Metro Regional Treatment Center Anoka, MN - 55303 |
| Business Phone Number: | 7637124000 |
| Business Fax Number: | 7637124013 |
| Mailing Address: | 3301 7 Ave No, Anoka Metro Regional Treatment Center ANOKA |
| State: | MN |
| Postal Code: | 55303 |
| Phone Number: | 7637124000 |
| Fax Number: | 7637124013 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P2900X |
| License Number: | 35882 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |