Organization
VITUITY-WISCONSIN ANESTHESIA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL (VICE PRESIDENT AND SECRETARY)
(510) 350-2600
Entity
Organization
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1000
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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