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Individual

ALBERTO JUVENAL PARRA VITELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D MS

Contact information

Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.165496
IL
208600000X
Surgery Physician
Primary
84148-20
WI

Other

Enumeration date
04/12/2017
Last updated
08/21/2024
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