Individual
DR. MARK SANTINI HAUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6731
Mailing address
4328 MCCONNELL ST, FITCHBURG, WI 53711-5928
(414) 520-5992
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
52616-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
10353
FL
Other
Enumeration date
06/01/2007
Last updated
09/04/2013
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