Joan Wittrock

NPI 1497482632 · on the registry since 2022 · sole proprietor

Practice

Address: 414 Broadway St Ste 1
Baraboo, WI 53913
Phone: (608) 774-8556
Organisation at this address: Tellurian, Inc.
Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-08-08

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 Wisconsin