Individual
DR. JEFFREY TODD VASSALLI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 E BROADWAY, MONONA, WI 53716-4023
(608) 222-8779
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014037730
MO
Other
Enumeration date
04/20/2013
Last updated
05/21/2021
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