NPI 1760418420 · live from the CMS NPI Registry
Gregory Wittenberg
Dermatology in Rapid City, SD. National Provider Identifier 1760418420, active.
NPI record
| NPI | 1760418420 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2820 Mount Rushmore Rd, Rapid City, SD 57701 |
| Practice phone | 605-342-3280 |
| Enumerated | June 24, 2006 |
| Last updated | November 5, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 4524 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.