DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEFATTA ENT & FACIAL PLASTIC SURGERY SC

Active Organization

DEFATTA ENT & FACIAL PLASTIC SURGERY SC is a Specialist organization located in ALTOONA, Wisconsin. NPI 1346664059 is currently active in the NPPES registry. Verify at CMS.

Specialist · ALTOONA, WI

Registration Details

NPI Number
1346664059
Provider Type
Organization
NPI Issued
Feb 17, 2014 (12.496366444407 yrs)
Last Updated
May 5, 2014
Licenses
55984-20 (WI)
55984-20 (WI)

Practice Information

Address
1490 RIVERS EDGE TRAIL
ALTOONA, WI, 547201495
Browse WI providers · Browse ZIP 54720
Phone
7158282368
Fax
7157262087
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.