Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vituity-Wisconsin LLC

Organization Emergency Medicine Physician · NPI 1083490395

Vituity-Wisconsin LLC is an Emergency Medicine Physician in Pleasant Prairie, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10256 Old Green Bay Rd Ste 140
Pleasant Prairie, WI 53158-2814
Phone: (262) 217-3455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X
Emergency Medicine Physician Taxonomy 207P00000X

Record details

NPI number1083490395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Birdsall — Vice President And Secretary · (510) 350-2600
NPI enumeratedSeptember 1, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address1601 Cummins Dr Ste D, Modesto, CA 95358-6411

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