Individual
DR. MILAN FRANKLIN VUITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2113
(888) 488-7440
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(610) 241-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H1673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117418701
—
TX
01
—
220022359
RR MEDICARE
TX
01
—
82P808
BCBS
TX
Enumeration date
06/22/2005
Last updated
09/26/2017
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