Individual provider · Type 1 NPI

Courtney Mae Wittrock, PA-C

Medical Physician Assistant · St. Cloud, MN

NPI number 1336688175 Active

Practice location

1900 Centracare Cir, Suite 2300
St. Cloud, MN 56303-5000

Call (320) 654-3630 Map

Fax (320) 229-5142

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1336688175

Courtney Mae Wittrock, PA-C's National Provider Identifier is 1336688175, issued on Feb 13, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Cloud, MN. The record was last updated on Mar 27, 2023.