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1063653954
MICHAEL J VITACCO
MADISON, WI
NPI
1063653954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TF0200X Psychologist, Forensic
(Licence: WI 2794-57)
Enumeration Date
2009-03-23
Last Update Date
2009-03-23
Business Address
Dr. MICHAEL J VITACCO ph.d.
301 TROY DR
MADISON, WI 53704-1521
Phone number: 608-301-1000
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Mailing Address
Dr. MICHAEL J VITACCO ph.d.
301 TROY DR
MADISON, WI 53704-1521
Phone number: 608-301-1000
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