Individual
MITCHELL COLE VARGOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
614 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-2386
Mailing address
4351 W COLLEGE AVE STE 130, APPLETON, WI 54914-3970
(920) 630-1569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1709133
WI
Other
Enumeration date
07/28/2025
Last updated
07/30/2026
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