Individual
CARL J VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 WESTHILL DR, WAUSAU, WI 54401-4710
(715) 847-2605
(715) 847-2604
Mailing address
3300 WESTHILL DR, WAUSAU, WI 54401-4710
(715) 847-2605
(715) 847-2604
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31967-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31685400
—
WI
Enumeration date
06/29/2006
Last updated
07/28/2016
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