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

Makayla Witzig

Individual provider Family Medicine Physician · NPI 1790579100

Makayla Witzig is a Family Medicine Physician in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

12680 Olive Blvd
Saint Louis, MO 63141-6289
Phone: (314) 251-8888
Fax: (314) 251-8889
Show map & directions

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

Additional practice locations (1)

  • 615 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-8888

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2025023161 (MO)

Record details

NPI number1790579100
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedApril 9, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

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