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

Blaise Paul Vitale, MD

Individual provider Family Medicine Physician · NPI 1487713723

Blaise Paul Vitale, MD is a Family Practice in Grantsburg, Wisconsin. Graduated from State University of New York at Stony Brook, School of Medicine in 1988, 38 years ago. Practices with Burnett Medical Center Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
38
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

257 W Saint George Ave
Grantsburg, WI 54840-7827
Phone: (715) 463-5317
Fax: (715) 463-2753
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 32065 (WI)

Record details

NPI number1487713723
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESDecember 14, 2012
Mailing address257 W Saint George Ave, Grantsburg, WI 54840-7827

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Burnett Medical Center Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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