Individual
STEPHANIE HAUTAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6353 2ND ST, WILMER, AL 36587-4453
(251) 410-7425
Mailing address
6353 2ND ST, WILMER, AL 36587-4453
(251) 410-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-154018
AL
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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