BLAISE PAUL VITALE

GRANTSBURG, WI
NPI1487713723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  32065)
Enumeration Date2006-12-06
Last Update Date2012-12-14
Business Address
-- BLAISE PAUL VITALE M.D.
257 W SAINT GEORGE AVE
GRANTSBURG, WI 54840-7827
Phone number: 715-463-5317
Mailing Address
-- BLAISE PAUL VITALE M.D.
257 W SAINT GEORGE AVE
GRANTSBURG, WI 54840-7827
Phone number: 715-463-5353