Individual
DR. VINCENT PAUL SAVAGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 30TH AVENUE, SUITE 102, KENOSHA, WI 53144
(262) 657-3636
Mailing address
3535 30TH AVENUE, SUITE 102, KENOSHA, WI 53144
(262) 657-3636
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16444020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31101700
—
WI
Enumeration date
12/04/2006
Last updated
07/08/2007
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