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Individual

VITTAL RAMACHANDRA NAGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
66489
WI
208100000X
Physical Medicine & Rehabilitation Physician
R2994
KY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
66489
WI

Other

Enumeration date
05/04/2012
Last updated
07/21/2022
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