Individual
DR. MARA LIZ FERNANDEZ-SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(414) 805-3666
(414) 805-6980
Mailing address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(614) 754-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
75160
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235493867
—
WI
Enumeration date
06/28/2012
Last updated
05/21/2024
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