Individual
JOHN P VIEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3611 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3738
(414) 762-7270
(414) 762-7864
Mailing address
100 15TH AVE, #180, SOUTH MILWAUKEE, WI 53172-1160
(414) 762-7270
(414) 762-4225
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
240-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42895700
—
WI
Enumeration date
09/01/2006
Last updated
12/06/2021
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