Search › Wisconsin › 207P00000X
Verona Ittiara, M.D
NPI 1538248455 · on the registry since 2006 · sole proprietor
Practice
- Address
- 701 Grove Ave
Wild Rose, WI 54984 - Phone
- (920) 622-3257
- Organisation at this address
- Thedacare Medical Center - Wild Rose, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 300 1st Capitol Dr, Saint Charles, MO
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207Q00000X
- Licence states on file
- WI, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin