Individual
JOHN A VUKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10425 W NORTH AVE STE 140, WAUWATOSA, WI 53226-2400
(414) 877-6414
Mailing address
5715 W OLD SHAKOPEE RD # 150, BLOOMINGTON, MN 55437-3107
(608) 282-2000
(608) 282-2172
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30091-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128
DEAN HEALTH INSURANCE
WI
05
—
31478100
—
WI
Enumeration date
06/02/2006
Last updated
06/18/2020
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