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

Dr. Gary Witucki, DO

Individual provider Family Medicine Physician · NPI 1184699472

Dr. Gary Witucki, DO is a Family Practice in Saint Joseph, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1992, 34 years ago. Practices with Lakeland Medical Practices, a 287-clinician group and accepts Medicare assignment. Licensed in Kentucky, Michigan and Wisconsin.

Years since qualifying
34
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
KY, MI, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone: (269) 983-8601
Show map & directions

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

Specialties & licences

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083P0011X · Licence 5101011763 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 03087 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 57339 (WI)
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Taxonomy 2083P0011X · Licence 57339 (WI)

Record details

NPI number1184699472
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address1234 Napier Ave, Saint Joseph, MI 49085-2112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1992 (34 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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