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Contact Information

AMY T VIDALIN, MD
600 HIGHLAND AVE
MADISON, WI53792-0004
 Phone: 227-370-6721
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for AMY T VIDALIN · (Female)

NPI Number 1679140917
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2021
Last updated 06/24/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 12858
  • WI License # 85724-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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