Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 051566 | CT |
N | 207U00000X | Nuclear Medicine Specialist | 272944 | MA |
NPI | 1619003142 |
---|---|
Provider Name | Dr. Christine Lynnette Vetter |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 10/12/2019 |