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

BLAISE PAUL VITALE, M.D.

Active

BLAISE PAUL VITALE, M.D. is a Family Medicine healthcare provider located in GRANTSBURG, Wisconsin. NPI 1487713723 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRANTSBURG, WI

Registration Details

NPI Number
1487713723
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2006 (19.670420412656 yrs)
Last Updated
Dec 14, 2012
License
32065 (WI)

Practice Information

Address
257 W SAINT GEORGE AVE
GRANTSBURG, WI, 548407827
Browse WI providers · Browse ZIP 54840
Phone
7154635317
Fax
7154632753
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GRANTSBURG, WI

Name Credential NPI
DAVID A LANG MD 1932141157
TIMOTHY GEORGE NOVICK M.D. 1366500753
VESNA RADIVOJEVIC M.D. 1841406923
ADEOLA A JOLAYEMI MD 1093962466
DR. JORDAN FRASER DO 1821650466
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.