Individual
VICTOR IERULLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W MOHAWK DR, SUITE 200, TOMAHAWK, WI 54487-2218
(715) 453-7200
Mailing address
2251 N SHORE DR, SUITE 100, RHINELANDER, WI 54501-8360
(715) 361-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45759
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43505900
—
WI
Enumeration date
05/25/2006
Last updated
07/08/2007
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