Individual
MR. VIC FAUZTO A SIBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
(608) 242-1166
Mailing address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
(608) 242-1166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238394
WI
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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