Blaise Paul Vitale, M.D.
NPI #1487713723 in Grantsburg, Wisconsin
Provider Information
- NPI Number
- 1487713723
- Entity Type
- Individual
- Name
- Blaise Paul Vitale, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Dec 14, 2012
Practice Location
- Address
- 257 W SAINT GEORGE AVE
- City
- Grantsburg
- State
- Wisconsin
- ZIP Code
- 54840-7827
- Phone
- (715) 463-5317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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