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. |