Tyler Witzig

NPI 1356038061 · on the registry since 2023

Practice

Address: 2821 N Ballas Rd Ste C37
Saint Louis, MO 63131
Phone: (314) 626-3226
Organisation at this address: Ballasdental
Basso Family Llc
Psych Health Llc
Nuset St. Louis Llc
Pear Tree Home Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri