Christopher William Witzlib

Primary specialty

BusTaxonomy code 347B00000X

Practice address

1651 Willow Dr
Port Washington, WI 53074-2498

Phone

(414) 559-6779

Fax

(262) 268-1693

NPI assigned

Nov 22, 2024

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2024.

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1962227017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 WILLOW DR",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742498",
            "telephone_number": "414-559-6779",
            "fax_number": "262-268-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 WILLOW DR",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742498",
            "telephone_number": "414-559-6779",
            "fax_number": "262-268-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZLIB",
        "first_name": "CHRISTOPHER",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Mae Wiley, LPC-IT
• Scot A Wilfong, DO
• Julie Ann Wilson, LPC
• Daniel P Witkowski, DDS
• Dawn Wittig, APNP
• Preston James Yahr, OD
• Brittney Nichole Yunto, D.P.T.
• Dawn M Zak, MS, LPC, CSAC
• Diane Marie Zausch
• Terry R Ziegler, D.C.

• All providers in Port Washington, WI
• Bus in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.