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NPI Code Detail

MEDICARE: ADDIE CHRISTINE VITTORIO M.D.

MEDICARE:   ADDIE CHRISTINE VITTORIO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician51985MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00767175OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11225205149OTHERWIGROUP HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
401-37337OTHERMEDICA
51225205149OTHERMNBCBS MN

General Provider Information

NPI Number : 1225205149
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADDIE CHRISTINE VITTORIO M.D.
Provider Business Mailing Address
First Line : 1400 WOODLAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55803-2624
Country : US
Telephone Number : 218-249-8800
Fax Number : 218-249-8828
Provider Business Practice Location Address
First Line : 1400 WOODLAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55803-2624
Country : US
Telephone Number : 218-249-8800
Fax Number : 218-249-8828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2008
Last Update Date : 12/04/2020

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Directions to “ ADDIE CHRISTINE VITTORIO M.D.” Practice Location

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