Organization
VALLEY UROLOGIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ELMER VLACH II M.D. (PRESIDENT/OWNER)
(920) 739-3537
Entity
Organization
Contact information
Practice address
2500 E CAPITOL DR, SUITE 2600, APPLETON, WI 54911-8735
(920) 739-3537
(920) 739-4115
Mailing address
2500 E CAPITOL DR, SUITE 2600, APPLETON, WI 54911-8735
(920) 739-3537
(920) 739-4115
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
N/A
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32748300
—
WI
Enumeration date
07/19/2006
Last updated
04/05/2010
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