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Individual
MARK J BIAGTAN
Active
Individual
MARK J BIAGTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
54168
WI
208000000X
Pediatrics Physician
54168
WI
2080P0201X
Pediatric Allergy/Immunology Physician
54168
WI
Other
Enumeration date
07/18/2008
Last updated
01/14/2021
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