Individual
MARK E HATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 WEST LAKE STREET, FRIENDSHIP, WI 53934
(608) 339-6350
Mailing address
PO BOX 40, FRIENDSHIP, WI 53934
(608) 339-6350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35892
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32060600
—
WI
Enumeration date
09/12/2005
Last updated
11/06/2013
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