Individual
VINCENT THE-LUC MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE RM K4550, MADISON, WI 53792-0001
(775) 225-5991
(870) 890-2724
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301108058
MI
207RH0003X
Hematology & Oncology Physician
Primary
75175-20
WI
Other
Enumeration date
06/12/2015
Last updated
06/29/2021
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