Individual
GERALD L. VITAMVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
(414) 247-4597
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22238
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30242900
—
WI
01
—
P00474685
RR MEDICARE
WI
Enumeration date
07/11/2006
Last updated
12/29/2010
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