Organization · Type 2 NPI
Defatta Ent & Facial Plastic Surgery SC
Specialist · Altoona, WI
NPI number
1346664059
Active
Practice location
1490 Rivers Edge Trail
Altoona, WI 54720-1495
Fax (715) 726-2087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 55984-20 (WI) |
| Medical Specialty Clinic/Center | 261QM2500X | 55984-20 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1346664059
Defatta Ent & Facial Plastic Surgery SC's National Provider Identifier is 1346664059, issued on Feb 17, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Altoona, WI. The record was last updated on May 5, 2014.