Gloria M Klaassen Witt, MD is a
Family Medicine physician based in Central Lake, Michigan. Gloria M Klaassen Witt is licensed to practice in Michigan (license number 4301053535) and her current practice location is 493 N Derenzy Rd, Central Lake, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 544-7001.
NPI number for Gloria M Klaassen Witt is 1851715536 and her current mailing address is 493 N Derenzy Rd, Central Lake, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851715536.
Physician's Profile
| Full Name | Gloria M Klaassen Witt |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 493 N Derenzy Rd, Central Lake, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851715536
- Provider Enumeration Date: 02/14/2014
- Last Update Date: 10/28/2022
Medical Identifiers
Medical identifiers for Gloria M Klaassen Witt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851715536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 4301053535 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gloria M Klaassen Witt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Gloria M Klaassen Witt, MD 493 N Derenzy Rd, Central Lake, MI 49622-9566 Ph: (231) 544-7001 | Gloria M Klaassen Witt, MD 493 N Derenzy Rd, Central Lake, MI 49622-9566 Ph: (231) 544-7001 |
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