NPI 1083490395

Vituity-Wisconsin LLC

Organisation Occupational Medicine Physician Pleasant Prairie, WI

Practice location

Address: 10256 Old Green Bay Rd STE 140, Pleasant Prairie, WI 53158-2814
Phone: (262) 217-3455
Mailing address: 1601 Cummins Dr STE D, Modesto, CA 95358-6411

Authorised official

Name: David Birdsall
Title: Vice President and Secretary
Phone: (510) 350-2600

Registered specialties (2)

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X

Other Preventive Medicine providers in Wisconsin →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Wisconsin →

Registry record

NPI: 1083490395
Entity type: Organization
NPI issued: 1 Sep 2023
Record last updated: 12 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.