| Organization Name: | VENUS WITTENAUER, D.O., INC |
| NPI Number: | 1124312392 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VENUS WITTENAUER (PRESIDENT) |
| Mailing Address: | 1517 N Market St East Palestine |
| State: | OH US |
| Postal Code: | 444131153 |
| Phone Number: | 3304263578 |
| Fax Number: | 3304262458 |
| NPI Enumeration Date: | 06/06/2011 |
| NPI Last Update Date: | 06/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 34006914M |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |