Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Conrad Wittram, MBCHB

Individual provider Diagnostic Radiology Physician · NPI 1578553483

Dr. Conrad Wittram, MBCHB is a Diagnostic Radiology Physician in Coeur D Alene, Idaho. Licensed in Massachusetts. Registered with an NPI since 2005.

Licensed in
MA
In the registry since
2005

Practice location Address checks out

601 E Frnt Ave Ste 502
Coeur D Alene, ID 83814-2701
Phone: (208) 415-0556
Fax: (208) 292-3130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 208156 (MA)

Record details

NPI number1578553483
Entity typeIndividual (Type 1)
GenderMale
Credentials MBCHB
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESNovember 7, 2012

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