Individual
DR. MIHAI MITITELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2880 UNIVERSITY AVE, MADISON, WI 53705-3644
(608) 263-7171
(608) 265-8060
Mailing address
2870 UNIVERSITY AVE, SUITE 206, MADISON, WI 53705-3611
(312) 695-6514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
61259
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130598
—
IL
Enumeration date
06/28/2008
Last updated
01/29/2021
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