Individual
HUMBERTO J VIDAILLET JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28451
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30820900
—
WI
Enumeration date
09/23/2006
Last updated
04/23/2025
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