Individual
BERNADETTE VITOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
54845
WI
2080T0004X
Pediatric Transplant Hepatology Physician
57.015938
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962677310
—
WI
Enumeration date
04/28/2008
Last updated
01/08/2024
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