Individual
MUHAMMAD M ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER, MADISON, WI 53715-1830
(608) 258-6975
(608) 258-5222
Mailing address
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER, MADISON, WI 53715-1830
(608) 258-6975
(608) 258-5222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46126-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144316910
—
WI
Enumeration date
10/05/2006
Last updated
11/25/2020
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