BLAISE VITALE, M.D.
Family Medicine
Active
Individual
NPI: 1487713723
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 32065 (WI) |
Frequently Asked Questions
NPI 1487713723 is the National Provider Identifier for BLAISE VITALE, M.D., a Family Medicine provider located in Grantsburg, WI. This NPI was enumerated on December 6, 2006.
BLAISE VITALE, M.D. practices at 257 W SAINT GEORGE AVE, Grantsburg, WI 54840.
Quick Facts
- NPI
- 1487713723
- Type
- Individual
- Enumerated
- Dec 6, 2006
- Last Updated
- Dec 14, 2012
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