Individual
DR. GEORGE E VIDALAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 N BARTLETT ST, SHAWANO, WI 54166-2127
(715) 526-2111
(715) 526-9174
Mailing address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-8120
(715) 526-9174
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
25046
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31654000
—
WI
Enumeration date
09/20/2006
Last updated
01/09/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us