| Mark Witaczack, DO | |
|
629 S Plummer, Chanute, KS 66720 | |
| (316) 321-5900 | |
| (316) 321-4763 |
| Full Name | Mark Witaczack |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 629 S Plummer, Chanute, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104962182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 05-20132 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Witaczack, DO Po Box 662, Chanute, KS 66720 Ph: Not Available | Mark Witaczack, DO 629 S Plummer, Chanute, KS 66720 Ph: (316) 321-5900 |
Kevin Hamm, DO,PA Radiology Medicare: Accepting Medicare Assignments Practice Location: 629 S Plummer Ave, Chanute, KS 66720 Phone: 316-755-0482 Fax: 316-755-0458 |
Darren Klish, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1709 W 7th St, Chanute, KS 66720 Phone: 620-431-4815 Fax: 620-431-4816 |