Individual
MARY ALICE HOUGHTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2577 N DOWNER AVE, MILWAUKEE, WI 53211-4253
(414) 964-9201
(414) 964-1915
Mailing address
2577 N DOWNER AVENUE, MILWAUKEE, WI 53211
(414) 964-9201
(414) 964-1915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17770
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085400
—
WI
Enumeration date
01/26/2006
Last updated
07/08/2007
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