IndividualActive
Courtney Wittrock, PA-C
NPI 1336688175 · Medical Physician Assistant · Saint Cloud, MN
Provider details
- NPI number
- 1336688175
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Practice location
1900 Centracare Cir
Suite 2300
Saint Cloud, MN 56303-5000
Phone: (320) 654-3630
Fax: (320) 229-5142
Mailing address
1900 Centracare Cir
Saint Cloud, MN 56303-5000
Registry dates
- Enumerated
- 2017-02-13
- Last updated
- 2023-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.