Individual
VISHAL M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1716 LAWRENCE DR STE 103, DE PERE, WI 54115-9108
(920) 632-6800
(920) 632-6806
Mailing address
1716 LAWRENCE DR STE 103, DE PERE, WI 54115-9108
(920) 632-6800
(920) 632-6806
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
71477-20
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
71477-20
WI
208VP0014X
Interventional Pain Medicine Physician
MD29439
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090937
—
WI
Enumeration date
05/20/2013
Last updated
12/11/2025
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