Blaise Paul Vitale in Grantsburg - Family Medicine
Blaise Paul Vitale - NPI 1487713723
Blaise Paul Vitale is a Family Medicine in Grantsburg, Wisconsin. Blaise Paul Vitale practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Blaise Paul Vitale is 1487713723. The last update date is 2012-12-14.
Blaise Paul Vitale's current location address is 257 W Saint George Ave, Grantsburg, Wisconsin. You can contact this provider via phone number 7154635353 and fax number 7154632423. The mailing address for Blaise Paul Vitale is 257 W Saint George Ave, Grantsburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blaise Paul Vitale |
|---|---|
| Address | 257 W Saint George Ave, Grantsburg, Wisconsin |
| Phone Number | 7154635353 |
| Fax Number | 7154632423 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487713723 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2012-12-14 |
Provider Mailing Address Detail
| Address | 257 W Saint George Ave |
|---|---|
| City | Grantsburg |
| State | Wisconsin (WI) |
| Post Code | 548407827 |
| Phone Number | 7154635353 |
| Fax Number | 7154632423 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 32065 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31761500 | WI | -- | |
| 660085900 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Blaise Paul Vitale by the Centers for Medicare & Medicaid Services?
The Blaise Paul Vitale has been issued the NPI (National Provider Identifier) 1487713723. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Blaise Paul Vitale's facilities are geographically located?
The facilities of Blaise Paul Vitale are physically situated at the following location: 257 W Saint George Ave, Grantsburg, WI, 548407827.
What is Blaise Paul Vitale's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blaise Paul Vitale's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1487713723 to Blaise Paul Vitale?
The Centers for Medicare & Medicaid Services assigned the 1487713723 to Blaise Paul Vitale on 2006-12-06.
As of what date were the Blaise Paul Vitale's details last updated?
The information pertaining to the Blaise Paul Vitale, including its address, specialty, and other details, was most recently updated on 2012-12-14.
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