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
ZIP Code
54840-7827
Phone
(715) 463-5317

Specialties & Taxonomy Codes

Specialty
Family Medicine

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