Individual
MARCIO F SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1818 ABERG AVE, MADISON, WI 53704-4202
(608) 515-6817
Mailing address
1818 ABERG AVE, MADISON, WI 53704-4202
(608) 515-6817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
224304-30
WI
Other
Enumeration date
02/16/2019
Last updated
02/16/2019
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