Individual
JESSE VITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
W180N8085 TOWN HALL RD, DEPARTMENT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 257-5100
Mailing address
W180N8085 TOWN HALL RD, DEPARTMENT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051-3518
(262) 257-5100
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
88
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114328226
—
WI
Enumeration date
09/08/2014
Last updated
10/20/2016
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