Individual provider · Type 1 NPI

William Allen Wittchow, PA-C

Physician Assistant · Fridley, MN

NPI number 1124128525 Active

Practice location

6341 University Ave NE
Fridley, MN 55432-4946

Call (763) 572-5710 Map

Fax (763) 586-5888

Mailing address

6401 University Ave NE
Fridley, MN 55432-4341

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9684 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124128525

William Allen Wittchow, PA-C's National Provider Identifier is 1124128525, issued on Sep 25, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fridley, MN. The record was last updated on Jul 9, 2007.