Individual
ANGELA K VITCENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
701 DANE STREET, MADISON, WI 53713
(608) 263-3111
(608) 263-6663
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1005-23
WI
363AM0700X
Medical Physician Assistant
Primary
1005
WI
Other
Enumeration date
04/17/2006
Last updated
01/07/2021
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