Individual
PATRICIA A HAUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, INTERNAL MEDICINE HOSPITALIST DIVISION, MILWAUKEE, WI 53226-3522
(414) 805-0812
(414) 805-0855
Mailing address
9200 W WISCONSIN AVE, INTERNAL MEDICINE HOSPITALIST DIVISION, MILWAUKEE, WI 53226-3522
(414) 805-0812
(414) 805-0855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
87087
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912215211
—
WI
Enumeration date
09/21/2010
Last updated
12/17/2012
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