Individual
DR. NINO ANTON VIDIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4907B KEYSTONE XING, EAU CLAIRE, WI 54701-5144
(715) 514-1585
(715) 514-1652
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
21748
NE
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
50281
WI
2084P0804X
Child & Adolescent Psychiatry Physician
MD2005-0644
NM
Other
Enumeration date
10/26/2005
Last updated
07/25/2018
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